Minimal Variability in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1611
SMLE Question #1611
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 32-year-old primigravida at 38 weeks’ gestation is in active labor receiving an oxytocin infusion. Continuous cardiotocography shows a baseline fetal heart rate of 150/min with minimal variability and recurrent late decelerations that start after the peak of each contraction and recover slowly. Contractions occur every 2–3 minutes. Cervical examination shows 6 cm dilation, 90% effacement, and a cephalic presenting part at 0 station. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.