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Reduced fetal movements — DRCOG MCQ

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HardAntenatal CareReduced fetal movementsDRCOG

A 27-year-old woman who is 31 weeks pregnant telephones because she has noticed fewer fetal movements since this morning. She has tried resting and drinking cold water but movements remain reduced. She has no pain or bleeding. What is the most appropriate management?

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Correct answer: D — Advise same-day assessment in the maternity unit

Reduced fetal movements after viability require same-day maternity assessment because they can be associated with fetal compromise. Home Dopplers may falsely reassure and are not recommended for triage. Delayed review is inappropriate when movements remain reduced. A growth scan may be needed after assessment but does not replace urgent evaluation.

Reference: NICE NG201; RCOG Green-top Guideline No. 57