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Gynaecology & Obstetrics Diagnosis in Obstetrics 79a56df2

A G2P1 woman at 35 weeks pregnancy complains of decreased fetal movement. Next step in Mgt is:

A
Observation
B
Do NST
C
Do CST
D
Do BPS
High-Yield Explanation
Ans. is b, i.e. Do NSTRemember: Whenever a pregnant female complains of decreased fetal movementDo NSTReactiveReassure the patient nothing needs to be done,Send the patient back homeNonreactiveNSTDo a biophysical score (BPS)A nonreactive NST earlier was being followed by a CST (contraction stress test) to confirm the diagnosis of hypoxia but CST is associated with risk of initiating labor and hence these days a nonreactive NST is being followed by a biophysical score (Manning score).

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