Decreased Fetal Movements in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1613

SMLE Question #1613

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old primigravida at 32 weeks’ gestation presents to the antenatal assessment unit with decreased fetal movements for 24 hours. She denies vaginal bleeding, leakage of fluid, or contractions. The uterus is nontender. External cardiotocography over 20 minutes shows baseline fetal heart rate 140 bpm, moderate beat-to-beat variability, two accelerations of ≥15 bpm lasting ≥15 seconds, and no decelerations. What is the most appropriate interpretation of this CTG?

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