A 24-year-old primigravid woman at 37 weeks gestation is admitted because of ruptured membranes and contractions for 6 hours. Contractions occur every 3 minutes and last 45 seconds. The fetal heart rate is 140/min. Clear fluid in the vagina tests positive with nitrazine. Which of the following is the most appropriate next step in management? a. determination of the pH of the vaginal fluid b. ultrasonography to assess amniotic fluid volume c. digital examination of the cervix d. internal monitoring of the contractions e. amniocentesis for fetal maturity
A 24-year-old primigravid woman at 37 weeks gestation is admitted because of ruptured membranes and contractions for 6 hours. Contractions occur every 3 minutes and last 45 seconds. The fetal heart rate is 140/min. Clear fluid in the vagina tests positive with nitrazine. Which of the following is the most appropriate next step in management?
a. determination of the pH of the vaginal fluid
b. ultrasonography to assess amniotic fluid volume
c. digital examination of the cervix
d. internal monitoring of the contractions
e. amniocentesis for fetal maturity
Given information:
Primigravid
The gestation period is 37 weeks
Contractions since 6 hours
Contractions at 3 min intervals and 45-sec duration
Fetal heart rate 140 bpm (beats per minute) - Normal
Nitrazine test - Positive
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