Accelerations in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16433

SMLE Question #16433

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 38-year-old G4P3 at 35 weeks’ gestation reports reduced fetal movements for 12 hours. Nonstress testing shows baseline fetal heart rate 130/min with accelerations, no decelerations, and initially minimal variability. After 1 hour of IV fluids and continued monitoring, variability becomes moderate with persistent accelerations and no decelerations. What is the most appropriate management?

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