This page is dedicated to organizing various examples of standardized exam questions whose answer is shoulder dystocia. While this may seem a odd practice, it is useful to see multiple examples of how shoulder dystocia will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 34 year old woman, G7P6, undergoes induction of labor at 39 weeks (due to the development of new-onset hypertension. The patient became pregnant 5 months after her most recent delivery, and the pregnancy has been uncomplicated. Her previous pregnancies have all been uncomplicated as well. Her past medical history is significant for uterine fibroids. Her blood pressure is 160/100 mm Hg. Her pre pregnancy weight was 250 lb, and she gained 30 lb during the pregnancy. Her fundal height is 43 cm. About 22 yours after the induction of labor, the fetal head delivers and then retracts in the material perineum. Gentle traction fails to delivery the anterior fetal shoulder. What is going on here?
Page Updated: 10.09.2016