**Question:** Which is not done for shoulder dystocia?

A. Applying traction on the mother's occiput
B. Applying cephalic rotation
C. Performing an episiotomy
D. Applying traction on the infant's scapula

**Core Concept:**
Shoulder dystocia is a complication that occurs during childbirth when the baby's shoulder becomes stuck in the mother's pelvis. This can lead to injury to the newborn and the mother. The primary goal of managing shoulder dystocia is to safely deliver the baby without causing further harm.

**Why the Correct Answer is Right:**
In correct management of shoulder dystocia, the focus is on minimizing risk to both the mother and the baby. Applying traction on the mother's occiput (Option A) is incorrect because it can lead to excessive maternal trauma and injury. On the other hand, cephalic rotation (Option B) helps to realign the baby's body and allows for easier delivery. An episiotomy (Option C) may be considered in some cases to facilitate delivery but is not always necessary or indicated in shoulder dystocia. Applying traction on the infant's scapula (Option D) is incorrect because it can further dislocate the infant's shoulder and increase the risk of injury.

**Why Each Wrong Option is Incorrect:**
Option A focuses on the mother, whereas the question asks for actions related to the baby. Option B and D are actions that can be taken on the baby, so they are correct. Option C focuses on the mother, which is not relevant to the question's focus on actions related to the baby.

**Clinical Pearl:**
In managing shoulder dystocia, it is essential to prioritize actions that minimize trauma to the baby. This includes cephalic rotation and applying traction on the infant's scapula, while avoiding actions related to the mother. Applying traction on the mother's occiput can cause significant maternal injury and is therefore incorrect.