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OBG · Intrapartum care: breech presentation
Sample itemAt term, a fetus is in breech presentation. Which maneuver may be offered before labor in selected patients to attempt cephalic version?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. External cephalic version
External cephalic version applies pressure through the maternal abdomen to rotate a breech fetus toward cephalic presentation in selected cases. Eligibility and safety assessment are essential.
Option by option
A. External cephalic version (correct)
Correct. ECV is used antenatally to turn a breech fetus.
B. McRoberts maneuver
McRoberts is used for shoulder dystocia.
C. Manual removal of placenta
Placental removal is a postpartum procedure.
D. Kristeller maneuver
Fundal pressure is not a routine version maneuver and can be harmful.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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