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7897 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

AInstruct the nurse to apply fundal pressure
BCall for help
CCut a generous episiotomy
DInstruct the nurse to flex the hip joint so that the patients legs are upto her chest
Gynaecology & Obstetrics
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7901 Gynaecology & Obstetrics

A 40-year-old P3L3 woman complains of urgency and hesitancy. Fuher some- times she gets the urge to void, but passes urine before reaching washroom. She had three normal spontaneous vaginal deliveries of infants weighing between 3.5 and 3.8 kg. Urine examination is normal. All of the following are appropriate treatments in the management of this patient Except

AKegel exercises
BBladder training
CBiofeedback
DAntidepressants
Gynaecology & Obstetrics
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