Moderate Variability in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11738
SMLE Question #11738
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 24-year-old primigravida at 39 weeks is in active labour at 6 cm cervical dilatation. Contractions are mild every 7–10 minutes, and membranes are intact. Cardiotocography shows baseline fetal heart rate 140/min with moderate variability and recurrent late decelerations with >50% of contractions for 20 minutes despite left lateral positioning and IV fluids. What is the most appropriate next step in management?
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