Oxytocin in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17272

SMLE Question #17272

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 28-year-old primigravida at 41 weeks is undergoing induction with oxytocin. After several hours, she reports reduced fetal movements. Cardiotocography shows a baseline fetal heart rate of 170/min, absent variability, and recurrent late decelerations with most contractions. Contractions are every 2–3 minutes. Cervix is 3 cm dilated and 70% effaced; fetal head is at −2 station. What is the most appropriate next step in management?

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