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Decreased fetal movement — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Decreased fetal movementUSMLE Step 3

A 29-year-old pregnant woman at 35 weeks' gestation reports decreased fetal movement since the previous evening. Her pregnancy has otherwise been uncomplicated. She has no vaginal bleeding, contractions, or leakage of fluid. Fundal height is appropriate, and fetal heart tones are 145/min by Doppler. Which of the following is the most appropriate at this time?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Perform nonstress testing

Decreased fetal movement in the third trimester warrants fetal assessment, typically with nonstress testing or biophysical profile depending on local practice.

Reference: ACOG antepartum fetal surveillance guidance