A 35-year-old G3P2 at 38 weeks in active labour, 6cm dilated. CTG: baseline 160 with absent variability and repetitive late decelerations. No

Question

A 35-year-old G3P2 at 38 weeks in active labour, 6cm dilated. CTG: baseline 160 with absent variability and repetitive late decelerations. No improvement after repositioning and IV fluid bolus. Most appropriate next step?

Accepted Answer

Emergency caesarean section

Answer

Continue monitoring 30 min

Answer

Terbutaline for tocolysis

Answer

Augment with oxytocin

Answer

Fetal scalp electrode for pH

Fetal distress (Category III tracing) — MCCQE Part 1 MCQ

A 35-year-old G3P2 at 38 weeks in active labour, 6cm dilated. CTG: baseline 160 with absent variability and repetitive late decelerations. No improvement after repositioning and IV fluid bolus. Most appropriate next step?