Sinusoidal heart rate pattern is seen in:: (A) Placenta previa, (B) Vasa previa, (C) Battledore placenta, (D) Succenturiate placenta
Answer is B. Sinusoidal Pattern:

Stable baseline heart rate of 120 to 160 beats/min with regular oscillations.
Amplitude of 5 to 15 beats/min (rarely greater).
Long-term variability frequency of 2 to 5 cycles per minute.
Fixed or flat short-term variability.
Oscillation of the sinusoidal waveform above or below a baseline.
Absence of accelerations.

Causes of Sinusoidal Pattern:

Serious fetal anemia due to Rh-isoimmunisation/rupture vasa previa / feto maternal hemorrhage / twin to twin transfusion.
Drugs — Meperidine, morphine, alpha prodine and butorphanol.
Amnionitis.
Fetal distress (+/–).
Umbilical cord occlusion.