<prompt> All are included in Biophysical profile and Mannings score EXCEPT:Respiratory movementFetal movementNon-stress testVibroacoustic stimulation reflex  <response>: Ans. d Vibroacoustic stimulation reflex. Ref. Dutta, Obstetrics, 6th ed., p 109, 464BIOPHYSICAL PROFILE MANNING SCORE The BPP measures fetal heart rate, muscle tone, movement, breathing, and the amount of amniotic fluid around fetus. A BPP is commonly done in the last trimester of pregnancy. If patient has a high-risk pregnancy, a BPP may be done by 32 to 34 weeks or earlier. Its 5 components are:0- Non-stress test NST- Fetal breathing movements at least 1 episode within 30 min lasting for 30 seconds.- Fetal tone 1 episode of limb extension with return to flexion within 30 seconds.- Gross fetal movements at least 3 discrete GFM with in 30 minutes.- Amniotic fluid volume 1 large pocket more than 1 cm vertical diameter. Score - In absence of oligohydramnios:- Normal score 8-10,- Equivocal 6 and- Abnormal 4.Fetal heart rate in sinusoidal pattern is seen inFetal heart rate in saltatory pattern is seen ina Rh isoimmunizationb Normal fetusc Drugs-alphaprodine.a Acid-base imbalanceb Labourc Acute brief hypoxia in fetusd Depressed fetus with low AP6AR. 