26-year-old Primigravida in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18503

SMLE Question #18503

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-IFM-001

Last updated: February 2026
A 26-year-old primigravida at 39 weeks’ gestation is admitted in spontaneous labor. Pregnancy was uncomplicated except a third-trimester ultrasound estimated fetal weight at the 8th percentile. She reports normal fetal movements and has no fever or vaginal bleeding. On admission, the fetal heart rate tracing is reassuring. What is the most appropriate intrapartum fetal surveillance strategy?

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