This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
A 29-year-o!d G3 P2 female at 32 weeks of gestation presents to the emergency dept. with a small amount of vaginal bloeding. She doesn't have any pain. * On examination * Her PR: 66/min * B/P: 100/70 mm of Hg * RR: 10/min FHS tracings show fetal distress and shows late declerations. What is the best course of action? 
Select and explain. 
A. Emergent cesarean section, B. Fetal umbilical blood transfusion, C. Expectant management, D. Induction of labour with prost aglandins
A: Emergent cesarean section
Answer: A: Emergent cesarean section 
Explanation: As there is painless vaginal delivery,the blood loss is fetal in origin it has led to fetal distress i.e, it is a case of vasa pre Management of vasa pre is emergency cesarean section Ref: Dutta Obs 9e pg 243.