Labour monitoring: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Labour monitoring

Sample item

What does recurrent late deceleration on a fetal heart-rate trace suggest?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Possible uteroplacental insufficiency

Late decelerations begin after the contraction peak and can indicate reduced uteroplacental oxygen transfer, requiring prompt evaluation of the trace, maternal status, and delivery plan.

Option by option

  • A. Normal fetal sleep only

    Persistent recurrent late changes should not be assumed normal sleep.

  • B. Maternal otitis

    Otitis does not explain fetal trace timing.

  • C. Possible uteroplacental insufficiency (correct)

    Correct: late decelerations can reflect uteroplacental compromise.

  • D. A dental abscess

    Dental abscess is unrelated to cardiotocography.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Possible uteroplacental insufficiency. Late decelerations begin after the contraction peak and can indicate reduced uteroplacental oxygen transfer, requiring prompt evaluation of the trace, maternal status, and delivery plan.

Why is "Normal fetal sleep only" not the answer?

Persistent recurrent late changes should not be assumed normal sleep.

Why is "Maternal otitis" not the answer?

Otitis does not explain fetal trace timing.

Why is "A dental abscess" not the answer?

Dental abscess is unrelated to cardiotocography.

What concept does this question test?

It tests Labour monitoring in OBG. The correct option holds because: Correct: late decelerations can reflect uteroplacental compromise.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Labour monitoring?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.