28-year-old Primigravida in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16951
SMLE Question #16951
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old primigravida at 41 weeks’ gestation is in active labor. An ultrasound earlier today estimated fetal weight at 4.5 kg. She is fully dilated and about to begin pushing. The obstetrician reviews steps that may be used if the fetal shoulders become impacted after delivery of the head. Which of the following maneuvers is most commonly used initially to dislodge the anterior shoulder?
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