Antepartum care (third trimester) Quiz: Ace Your Exams
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A 27-year-old woman, gravida 2, para 1, at 34 weeks estimated gestational age (EGA), presents for routine antenatal care. Her last appointment was 4 weeks ago, and she is up-to-date on all recommended screenings and interventions. She is concerned that while she feels at least 10 movements in the hour following dinner, she no longer feels much fetal movement during other parts of the day, which is a change for her. Also, several days ago, she experienced irregular contractions over 4 hours that resolved with oral hydration and rest. She has not had loss of fluid or vaginal bleeding. Obstetric history is notable for a single uncomplicated vaginal delivery at term 2 years ago. She takes a prenatal vitamin daily. Pre-pregnancy body mass index was 23 kg/m2, and she has gained 31 lb. (13.6 kg) during this pregnancy. Temperature is 36.5°C (97.7°F), pulse is 82/min, respirations are 16/min, and blood pressure is 136/84 mmHg. On exam, the fundal height measures 36 cm, and the fetal heart rate is 135/min on handheld Doppler. Which of the following is the best next step in management?
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