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Nonreassuring fetal status — USMLE Step 3 MCQ

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HardOB/GYN (prenatal care, contraception, screening)Nonreassuring fetal statusUSMLE Step 3

A 30-year-old G2P1 woman at 39 weeks' gestation has contractions every 3 minutes. Cervix is 6 cm dilated. Fetal heart tracing shows recurrent late decelerations despite maternal repositioning and IV fluids. Variability is minimal. Which of the following is the most appropriate at this time?

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Reveal the answer and explanation

Correct answer: C — Expedite delivery

Persistent recurrent late decelerations with minimal variability despite intrauterine resuscitation indicate fetal intolerance and require expedited delivery.

Reference: ACOG intrapartum fetal heart rate monitoring guidance