Reduced fetal movements in labour — DRCOG MCQ

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ModerateLabourReduced fetal movements in labourDRCOG

A 22-year-old woman arrives in early labour reporting reduced movements since the morning. What would you advise?

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Correct answer: B — Advise immediate fetal assessment

Advise immediate fetal assessment is the best answer because the vignette is testing Reduced fetal movements in labour and the recommended approach is consistent with NICE NG235; NICE NG229. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Use condoms until follow-up is complete; Delay hormonal contraception for five days after ulipristal; Continue breastfeeding with latch support; Offer intermittent auscultation in the community would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting.

Reference: NICE NG235; NICE NG229