This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: AIIMS 2018, Subject name: Gynaecology & Obstetrics
Placenta grade 3, 35+3 weeks pregnancy, and absent end diastolic flow Doppler; next ,management is:- 
Select and explain. 
A. Dexamethasone and terminate after 48 hours, B. Terminate after 37 weeks, C. Talk with pediatrician and termination, D. Monitor
C: Talk with pediatrician and termination
Answer: C: Talk with pediatrician and termination 
Explanation: * Absent end diastolic flow : fetal compromise ( hence terminate pregnancy by caesarean section if > 34 weeks)* Reverse end diastolic flow : impending doom of death ( terminate pregnancy irrespective of gestational age)* Steroids are given if pregnancy < 34 weeks