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Reduced fetal movements — DRCOG MCQ

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HardAntenatal CareReduced fetal movementsDRCOG

A woman at 32 weeks reports a marked reduction in her baby’s movements since the previous day. She has tried a cold drink and resting but remains concerned. What is the most appropriate action?

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Correct answer: D — Arrange same-day assessment in the maternity triage service

The best answer is “Arrange same-day assessment in the maternity triage service”. A persistent or marked reduction in fetal movements after viability requires prompt maternity assessment; self-help measures should not delay care. Assessment typically includes confirmation of fetal wellbeing and escalation according to gestation and findings. Movement patterns change near term, but clinically significant reduction is not dismissed as a normal late-pregnancy feature.

Reference: RCOG Green-top Guideline No. 57: Reduced fetal movements: https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/reduced-fetal-movements-green-top-guideline-no-57/