CMSA FCOG(SA) Part II Practice Questions - Fellowship Of The College Of Obstetricians And Gynaecologists Of South Africa Part II Exam

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A 34-year-old G3P2 at 32 weeks gestation undergoes umbilical artery Doppler ultrasonography for suspected fetal growth restriction (FGR). The Doppler spectrum demonstrates absent end-diastolic flow (AEDF). What is the appropriate immediate clinical management?

Immediate emergency caesarean delivery within 1 hour Administer antenatal corticosteroids, initiate intensive fetal surveillance (ductus venosus Doppler, biophysical profile), and plan delivery at 34 weeks or earlier if deteriorated Discharge home with weekly umbilical artery Doppler monitoring Initiate maternal hyperoxygenation and re-evaluate Doppler in 4 weeks

Correct Answer:

Administer antenatal corticosteroids, initiate intensive fetal surveillance (ductus venosus Doppler, biophysical profile), and plan delivery at 34 weeks or earlier if deteriorated

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