A woman at 41+3 weeks gestation has a biophysical profile (BPP) score of 4/10. The score components are: non-stress test non-reactive, absent fetal breathing movements, absent gross body movements, and normal amniotic fluid index. The most appropriate management is:

• A Expedite delivery ✓
• B Repeat BPP in 24 hours
• C Administer betamethasone and deliver in 48 hours
• D Admit and monitor with weekly BPP

Explanation

A BPP score of 4/10 is considered abnormal and indicates possible fetal compromise. At 41+ weeks, where the fetus is mature, a BPP of 4 is an indication for expedited delivery without delay. Repeating the BPP is acceptable only for scores of 6 with normal amniotic fluid in preterm gestations. Betamethasone is not indicated in a term/post-term fetus.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.