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45771 Gynaecology & Obstetrics

A healthy 23-year-old G1P0 has had an uncomplicated pregnancy to date. She is disappointed because she is 41 weeks gestational age by good dates and a first-trimester ultrasound and wants to have her baby She feels like she has been pregnant forever and wants to have her baby now. The patient reports good fetal movement; she has been doing kick counts for the past several days and reports that the baby moves about eight times an hour on average. On physical exam, her cervix is firm, posterior, 50% effaced, and 1 cm dilated, and the vertex is at a -1 station. As her obstetrician, which of the following would you recommend to the patient?

AShe should be admitted for an immediate cesarean section
BShe should be admitted for Pitocin induction
CYou will schedule a cesarean section in 1 week if she has not undergone spontaneous labor in the meantime
DShe should continue to monitor kick counts and to return to your office in 1 week to reassess the situation
Gynaecology & Obstetrics
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