Post-term pregnancy with fetal compromise — MCCQE Part 1 MCQ

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ModeratePregnancy ComplicationsPost-term pregnancy with fetal compromiseMCCQE Part 1

A 28-year-old G1P0 at 41+3 weeks reports decreased fetal movements. NST: recurrent late decelerations. AFI 4cm. Most appropriate next step?

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Correct answer: B — Expedite delivery (induction or C-section)

Recurrent late decelerations + oligohydramnios + post-term = fetal compromise requiring expedited delivery. SOGC: induction by 41+0 to 42+0 for all pregnancies.

Reference: SOGC Post-term Pregnancy