Pregnancy (Complicated) (Assessment & Diagnosis) — 29yo | Obstetrics | MCCQE1 Q#13472
MCCQE1 Question #13472
Dimension of Care
Health Promotion & Illness Prevention
Activity
Assessment & Diagnosis
Objective
Pregnancy (Complicated)
Section
Obstetrics & Gynecology
Subject
Obstetrics
Last updated: February 2026
A 29-year-old G2P1 at 31+4 weeks’ gestation is referred for assessment because her fundal height has measured 3–4 cm less than dates on two consecutive visits. Her first pregnancy was uncomplicated, and she does not smoke or drink alcohol. She reports normal fetal movements and no vaginal bleeding or fluid leakage. Ultrasound shows an estimated fetal weight at the 6th percentile and abdominal circumference at the 4th percentile, with an amniotic fluid index of 7 cm and no structural anomalies. You suspect fetal growth restriction. Which investigation is most appropriate next to assess fetal well-being and guide surveillance?
Full answer analysis and choices are available inside the practice session.
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