Read the following passage and questions, then choose the right answer from options, the answer should be one of A, B, C, D.

<passage>:
Obstetrics for beginners It's my first go at delivering a baby by caesarean section – and the foetal head is impacted, jammed in its mother's pelvis. To be honest I'm struggling. So you can stop worrying. Debra – Desperate Debra to use her full trade name – is a simulator designed to help doctors practise their skill at dealing with impacted foetuses: babies that get stuck trying to exit the womb by the normal route. She comprises the lower two thirds (ie from the mid-chest region downwards) of a life-sized but limbless female torso made of flesh-coloured silicone rubber. She comes with a vulva, a pre-cut incision in her abdomen and, most importantly, a uterus containing a foetal head that should, in the normal way of things, be free to emerge between her legs. But this fetus is going nowhere until an obstetrician – or in this case me – can successfully grasp and pull it out. The clever and sophisticated simulator I'm playing with started life as a lash-up in an obstetrician's home workshop: a Heath Robinson-style contraption barely recognisable as a model of the human body. But it wasn't at that stage intended as a simulator for training medical staff. Its sole purpose was to test the effectiveness of a novel device called a Tydeman tube. Paradoxically, although the testing equipment, Debra, is now commercially available, the device it was intended to test has yet to reach the market. The inventor of the tube and of Desperate Debra is Dr Graham Tydeman, a consultant in obstetrics and gynaecology at Victoria Hospital in Kirkcaldy, Fife. Only after he'd built Debra did he realise that she might serve a purpose beyond his original intention. His is a decade-long tale of inspired insights, thwarted aims and shifting purposes The standard response is to perform a caesarean section. Every year some 160,000 babies are born in the UK this way, with almost two thirds of them classified as emergencies. One audit has suggested that roughly 8,000 babies get stuck and have to be delivered by caesarean at a stage when their mothers are fully dilated. "Some of the babies will be so close to coming out by the normal route," says Tydeman, "that it's then difficult to get them back up and remove them through the hole in the woman's tummy." Which women are most at risk of this setback seems to be largely unpredictable. "We just observe that it happens… It's been discussed in the medical literature since the 1940s, but until 10 years ago, and throughout my training and most of my life as a consultant, it wasn't really talked about." In a protracted birth that's destined to end with a caesarean, the longer the labour is allowed to go on before the obstetrician decides to intervene, the greater the likelihood that the baby's head will become impacted. However, concern over the rising number of babies born by caesarean has made doctors more wary of doing them – one consequence of which is that medical staff may allow a difficult birth to continue for longer before they resort to surgery. This could be boosting the frequency of impaction. But, again, no one is certain. When obstetricians doing planned caesareans slice open a mother's womb, what they usually see is the baby's head. By slipping a hand round and below it they can easily guide the baby out. "When you do a caesarean for an impacted baby," says Tydeman, "you make the incision in the same place, but what you might come across is a shoulder because the baby's so much further down [the birth canal]." As I'd discovered for myself, sliding a hand around the baby's head is then far more difficult. "It makes your fingers hurt," says Tydeman. "It makes your pulse rate go up to about 200, and you break out in a sweat because know you've only got about five or 10 minutes before there are serious consequences. The clock is ticking." If a baby's head is jammed down in the mother's pelvic region, common sense suggests that it might help if a second person gives a gentle backward push on the area of its head visible through the mother's dilated cervix. "In our unit," says Tydeman, "when the woman is fully dilated and you'd expect the baby to come out normally [but it doesn't]… a registrar will be asking for a push-up about one in five times." Although registrars are doctors still in training, they're nonetheless experienced the head was cast in silicone from a model he'd made in plasticine, and the rest comprised old springs and other bits of stuff lying around his workshop. "It wasn't actually that difficult," Tydeman says. When originally conceived, remember, Debra was simply a means of testing the effectiveness of the tube. What she looked like was neither here nor there. It was only once Debra was reborn as a teaching aid that she needed sprucing up. With a grant from the Guy's and St Thomas's Charity fund they made Debra more presentable. Tydeman showed the prototype to Adam Rouilly, an established company specialising in medical models and simulators. They were impressed. A year later, the first of Debra's smartened-up sisters was on the market. In Debra as she is now, the precise extent and nature of her desperation can be fine-tuned according to need. The foetal head inside her uterus can be moved to mimic the various positions that an unborn baby may adopt. By tightening a spring inside Debra's body, it's also possible vary the degree of impaction from mild to so severe that the head is virtually impossible to extract. In this way she simulates the full range of difficulty that obstetricians are likely to encounter. So how valuable in training medical staff is a simulator like this? Very, according to Annette Briley. Imagine it's the middle of the night and an unplanned emergency caesarean is required: "Some poor junior doctor might find himself trying to manage it on his own." To have practised the knack of extracting a firmly impacted baby from a simulator is lot better than first honing your skill on a real woman. At St Thomas's, midwives in training also get an opportunity to practise on Debra. The chances that midwives will find themselves having to do the actual extraction of an infant are slim but they're quite likely to be asked to help the obstetrician by pushing a stuck baby from below. Debra's anatomy allows them to practise this skill A proper study of the clinical effectiveness of the Tydeman tube will necessarily involve women giving birth. Assessing the value of Debra as a simulator didn't require human subjects and the team has already conducted such a study. Thirty obstetricians, from three NHS maternity units and with varying levels of experience, took part. They all received a brief explanation of how Debra works, and were then asked to try a timed removal of the foetal head at three different levels of difficulty. Overall, 87 per cent reported that the simulator offered a realistic experience of dealing with an impacted head, and 93 per cent thought it would be valuable as a training device. Given the universality of childbirth it's no surprise that, then as now, the womb turns out to be the most simulated of our organs. For the benefit of 18th-century midwives and doctors-in-training, the Bologna surgeon Giovanni Antonio Galli devised a birthing simulator comprising a glass uterus supported by an artificial pelvis and containing a flexible foetus. Trainees had to deliver the baby while wearing a blindfold. Only the tutor could witness the fumbling of their hands.

<question>:
When doing a cesarian for an impacted fetus, what might a doctor see?

<options>:
A An arm
B A shoulder
C The torso
D A leg

<answer>:

B