[Expert Solution]: A 30 year old nullipara with pre-existing…

A 30 year old nullipara with pre-existing hypertension is in active labour. The cervix is 6 cm dilated. Electronic Fetal Monitoring (EFM) and physical assessment over the last 90 minutes include the following: 3 contractions in 10 minutes, soft resting tone, baseline fetal heart rate at 140 bpm, minimal variability and no accelerations or decelerations. The most appropriate action at this time would be to: Select one: a. Discuss performing scalp stimulation or sampling for pH or lactate b. Augment with oxytocin to accelerate the progress of labour c. Continue monitoring with EFM and recheck dilatation in two hours d. Recommend a Cesarean right away