Obstetrics/Gynecology

Board Review: Keep Calm its about the BUMP

A 17-year-old female presents to your ED with abdominal pain. Her vital signs are as follows: BP 90/60, HR 120, RR 16, and SpO2 99%. LMP is unknown. A urine pregnancy test is pending. She is awake and alert but looks uncomfortable so you decide to perform a bedside ultrasound:

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Board Review: OB/GYN

A 26 year old female at 40 weeks gestation presents to your emergency department in labor.  During the delivery you notice retraction of the fetal head against the maternal perineum and are unable to deliver either shoulder.  Which of the following steps below should be performed first?

  1. Suprapubic pressure with flexion of hips 
  2. Episiotomy 
  3. Rotate mother to prone position 
  4. Cephalic replacement 
  5. Intentional clavicle fracture 
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