Suspected fetal compromise — DRCOG MCQ

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ModerateLabourSuspected fetal compromiseDRCOG

A 28-year-old woman in labour has recurrent late decelerations on cardiotocography and reduced variability. What is the most appropriate investigation?

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Correct answer: C — Classify the cardiotocograph and arrange urgent obstetric review

Classify the cardiotocograph and arrange urgent obstetric review is the best answer because the vignette is testing Suspected fetal compromise and the recommended approach is consistent with NICE NG229. The other tests may be useful in different pathways, but they would not be the most direct first investigation for this presentation. Specifically, Pelvic ultrasound; High vaginal swab; Arrange routine antenatal clinic review; Liver function tests and bile acids would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: NICE NG229