Shoulder Dystocia

Question 1

In Shoulder dystocia how long for when fetal acidosis is significantly reduced?

Answer 1

5 minutes

Question 2

Incidence of shoulders?

Answer 2

6/7 per 1000

Question 3

What does supra pubic pressure aim to do?

Answer 3

reduce the bi-sacromial diameter of the fetus and rotate the shoulders into the oblique diameter of the maternal pelvis.

Question 4

What does the Pringle grip manoeuvres aim to do ?

Answer 4

reduce the bi-sacromial diameter of the fetus and rotate the shoulders into the oblique diameter of the maternal pelvis.

Question 5

What % resolved with McRoberts

Answer 5

90%

Question 6

What does supra pubic pressure do?

increase bisacromial diameter
reduce bisacromial diameter
reduce bitrochanteric diameter
increase bitrochanteric diamter

Answer 6

reduce bisacromial diameter

Question 7

Which of the following is not associated with shoulder dystocia?
4th degree tears
uterine rupture
PPH
uterine inversion

Answer 7

Uterine inversion

Question 8

Which of the following is a possible injury to the neonate as a result of shoulder dystocia?
arterial plexus injury
arterial compression in the shoulder
brachial plexus injury
brachial plexus detachment

Answer 8

Brachial plexus injury

Question 9

Which of the following does McRoberts position not do?
aids lateral flexion
flattens sacral promontory
widen the transverse diameter of the pelvis
rotates pelvis towards mothers head

Answer 9

Widens transverse diameter of the pelvis