A 32-year-old primigravida at 39 weeks gestation presents in labour. Continuous CTG monitoring shows a baseline fetal heart rate of 170 beats/min with...

Question

A 32-year-old primigravida at 39 weeks gestation presents in labour. Continuous CTG monitoring shows a baseline fetal heart rate of 170 beats/min with reduced variability and late decelerations. According to RANZCOG intrapartum fetal surveillance guidelines, what is the MOST appropriate management?

Accepted Answer

Institute intrauterine resuscitation and prepare for urgent operative birth

Answer

Continue observation; this is a normal tracing

Answer

Offer early amniotomy and oxytocin augmentation

Answer

Stop all monitoring to reduce maternal anxiety

Answer

Wait for spontaneous vaginal birth without intervention

au-amc MCQ (SBA): Pathological CTG

A 32-year-old primigravida at 39 weeks gestation presents in labour. Continuous CTG monitoring shows a baseline fetal heart rate of 170 beats/min with reduced variability and late decelerations. According to RANZCOG intrapartum fetal surveillance guidelines, what is the MOST appropriate management?