Meconium-stained liquor — DRCOG MCQ

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ModerateLabourMeconium-stained liquorDRCOG

A 31-year-old woman in labour at 41 weeks has thick meconium-stained liquor after membrane rupture. What is the most appropriate management?

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Correct answer: A — Recommend continuous fetal monitoring in obstetric-led care

Recommend continuous fetal monitoring in obstetric-led care is the best answer because the vignette is testing Meconium-stained liquor and the recommended approach is consistent with NICE NG235. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Offer reassurance without further assessment; Offer intermittent auscultation in the community; Offer empirical antifungal treatment; Request outpatient ultrasound in three months would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: NICE NG235