Antenatal care: fetal growth restriction: 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 · Antenatal care: fetal growth restriction

Sample item

A fetus has estimated weight below the 10th centile, reduced growth velocity, and abnormal umbilical-artery Doppler with absent end-diastolic flow. What is the major concern?

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

The answer and the reasoning

D. Placental insufficiency with high fetal compromise risk

Fetal growth restriction with abnormal umbilical-artery Doppler indicates placental vascular insufficiency and elevated risk of hypoxemia and stillbirth. Management requires specialist surveillance and delivery planning.

Option by option

  • A. Normal variation requiring no surveillance

    This requires enhanced surveillance, not routine reassurance.

  • B. Maternal urinary infection only

    UTI does not explain this Doppler pattern.

  • C. Constitutionally large healthy fetus

    The fetus is small rather than large and the Doppler is abnormal.

  • D. Placental insufficiency with high fetal compromise risk (correct)

    Correct. Absent end-diastolic flow is a serious placental-insufficiency finding.

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 D, Placental insufficiency with high fetal compromise risk. Fetal growth restriction with abnormal umbilical-artery Doppler indicates placental vascular insufficiency and elevated risk of hypoxemia and stillbirth.

Why is "Normal variation requiring no surveillance" not the answer?

This requires enhanced surveillance, not routine reassurance.

Why is "Maternal urinary infection only" not the answer?

UTI does not explain this Doppler pattern.

Why is "Constitutionally large healthy fetus" not the answer?

The fetus is small rather than large and the Doppler is abnormal.

What concept does this question test?

It tests Antenatal care: fetal growth restriction in OBG. Management requires specialist surveillance and delivery planning.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Antenatal care: fetal growth restriction?

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.