[Expert Solution]: A 39 week fetus on Electronic Fetal Monitor…

A 39 week fetus on Electronic Fetal Monitor (EFM) has a baseline FHR of 120 bpm, minimal variability for the last 90 minutes and no accelerations or decelerations. The FHR lacks an acceleratory response to gentle scalp stimulation. What are the most appropriate courses of care: (select 2 choices) Select one or more: a. Consider the need for urgent birth b. Apply firmer pressure while conducting scalp stimulation with the next contraction c. Continue monitoring the fetus until spontaneous accelerations return d. Perform fetal scalp blood sampling (for pH or lactate)