Suspected fetal growth restriction — DRCOG MCQ

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ModerateAntenatal CareSuspected fetal growth restrictionDRCOG

A 37-year-old woman at 33 weeks has a symphysis-fundal height that has crossed centiles downwards. What is the most appropriate investigation?

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Correct answer: B — Refer for ultrasound assessment of fetal growth

Refer for ultrasound assessment of fetal growth is the best answer because the vignette is testing Suspected fetal growth restriction and the recommended approach is consistent with NICE NG201. The other tests may be useful in different pathways, but they would not be the most direct first investigation for this presentation. Specifically, Newborn bilirubin measurement; High vaginal swab; Full blood count; Thyroid function tests would be suboptimal in this scenario. The first investigation should answer the immediate clinical question and follow the relevant UK pathway.

Reference: NICE NG201