Decreased Fetal Movements in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12337
SMLE Question #12337
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old G2P1 woman at 18 weeks’ gestation presents with decreased fetal movements. Three weeks ago, a scan documented a live fetus with cardiac activity and no placental abnormality. Today, symphysis–fundal height corresponds to 18 weeks, but fetal heart tones are not detected by handheld Doppler. She has no vaginal bleeding or abdominal pain and appears clinically stable. What is the most appropriate next diagnostic step to evaluate the suspected fetal demise?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.