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Gynaecology & Obstetrics
A 26- year old G3P2L2 at 40 weeks presents in second stage of labour. The baby's head delivers spontaneously, but then retracts back against the perineum, even with downward traction, the baby's anterior shoulder fails to deliver. All of the following are appropriate next steps in the management of this patient EXCEPT
Instruct the nurse to apply fundal pressure
Call for help
Cut a generous episiotomy
Instruct the nurse to flex the hip joint so that the patients legs are upto her chest
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