Reduced fetal movements — MCCQE Part 1 MCQ

Correct answer: E — Arrange prompt fetal assessment with non-stress testing or local triage protocol

Arrange prompt fetal assessment with non-stress testing or local triage protocol is the single best answer because the age, timing, examination findings and investigations in the vignette fit Reduced fetal movements better than the alternatives. The most tempting distractor is less appropriate because it either treats a neighbouring presentation, delays a time-critical intervention, or ignores a key discriminator in the stem. The remaining options are suboptimal because they would miss the diagnosis, use an investigation or treatment in the wrong sequence, or fail to address safety and follow-up. Canadian practice should be anchored to SOGC fetal health surveillance guidance, with attention to acuity, safety-netting and local provincial pathways.

Reference: SOGC fetal health surveillance guidance