Fetal Distress (persistent Late in Patient Safety, Preventive & Ethics — Case | Ethics | SMLE Q#17051

SMLE Question #17051

Patient Safety, Preventive & Ethics Ethics

Objective: OBJ-243

Last updated: February 2026
A 28-year-old primigravida at term has obstructed labor with fetal distress (persistent late decelerations). An emergency caesarean section is recommended. She is fully conscious, has decision-making capacity, and demonstrates understanding of the maternal and fetal risks but refuses surgery and requests a second opinion. Her husband insists the operation should proceed. What is the most appropriate next step in management?

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