A 26-year-old primigravida at 38 weeks of gestation attends the GP reporting her baby has been moving less than usual for 6 hours. She felt two kicks ...

Question

A 26-year-old primigravida at 38 weeks of gestation attends the GP reporting her baby has been moving less than usual for 6 hours. She felt two kicks this morning compared to her usual pattern of frequent movements. Her pregnancy has been uncomplicated. A handheld Doppler in the GP surgery detects a fetal heart rate of 145 bpm. Which is the single most appropriate next step?

Accepted Answer

Refer to the maternity triage unit for cardiotocography despite detecting a fetal heart

Answer

Reassure as a fetal heart has been detected and advise monitoring at home

Answer

Arrange an outpatient growth scan within 1 week

Answer

Advise a cold drink and counting kicks for 2 hours

Answer

Arrange a biophysical profile in the community

uk-drcog MCQ (SBA): Reduced Movements - Doppler Does Not Exclude Compromise