A 34-year-old woman with pre-gestational Type 1 diabetes is at 30 weeks gestation with good glycemic control. According to standard guidelines, which antenatal fetal surveillance is recommended at this gestation?
- A Non-stress test weekly ✓
- B Biophysical profile twice weekly
- C Daily fetal movement counting only
- D Doppler umbilical artery flow weekly
Correct answer: A. Non-stress test weekly
Explanation
In pre-gestational diabetes, weekly non-stress testing is recommended starting at 32 weeks, or earlier if poorly controlled. Before 32 weeks, surveillance is individualized based on glycemic control and complications. Biophysical profile twice weekly is reserved for high-risk cases with additional complications such as fetal growth restriction. Daily fetal movement counting is recommended for all pregnancies but is not the primary surveillance modality.
Reference: Williams Obstetrics, 25th ed.
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Written and medically reviewed by the StethoPrep medical team.