#june2020mccqe1
A 25-year-old primigravid patient at 40 weeks of gestation presented because she had not felt any fetal movements for 24 hours. The fetal heart beats were clearly audible on auscultation at a rate of 140/min, and the cardiotocograph (CTG) was normal and reactive. Her cervix was 2cm dilated and fully effaced. You therefore reassured her and sent her home. She telephones you 24 hours later and tells you that she has still not felt any fetal movements, now for 48 hours. Which one of the following is the most appropriate next step in management?
(A) Admit for induction of labour
(B) Immediate Caesarean section
(C) Urgent oxytocin challenge test
(D) Urgent ultrasound scan of the fetus
(E) Amniotic fluid volume assessment
A 25-year-old primigravid patient at 40 weeks of gestation presented because she had not felt any fetal movements for 24 hours. The fetal heart beats were clearly audible on auscultation at a rate of 140/min, and the cardiotocograph (CTG) was normal and reactive. Her cervix was 2cm dilated and fully effaced. You therefore reassured her and sent her home. She telephones you 24 hours later and tells you that she has still not felt any fetal movements, now for 48 hours. Which one of the following is the most appropriate next step in management?
(A) Admit for induction of labour
(B) Immediate Caesarean section
(C) Urgent oxytocin challenge test
(D) Urgent ultrasound scan of the fetus
(E) Amniotic fluid volume assessment
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