Antepartum fetal surveillance Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 31-year-old woman, gravida 3, para 2, with chronic hypertension presents for routine antepartum fetal surveillance at 35 and 4/7 weeks estimated gestational age (EGA). She has no headache, vision changes, shortness of breath, or upper abdominal pain. Blood pressure today is 156/100 mmHg. On exam, her lungs are clear to auscultation and the abdomen is non-tender. A non-stress test (NST) shows a baseline fetal heart rate (FHR) of 120/min, with minimal variability, and one increase in heart rate to 135/min lasting 20 seconds. There is one decrease in FHR to 80 bpm, with a rapid decrease and quick return to baseline within 15 seconds. There are no contractions. An ultrasound shows an estimated fetal weight at the 14th percentile for EGA, a single deepest vertical pocket (DVP) of fluid measuring 1.8 cm, consistent fetal breathing movements for 15 seconds and 4 limb and body movements, including one extension and return to flexion of the arm. Which of the following is the most appropriate next step in management? 

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