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 OB) Ultrasonography to assess amniotic fluid volume C) Digital examination of the cervix D) Internal monitoring of the contractions E) Amniocentesis for fetal maturity

Curren'S Math For Meds: Dosages & Sol
11th Edition
ISBN:9781305143531
Author:CURREN
Publisher:CURREN
Chapter15: Adult And Pediatric Dosages Based On Body Weight
Section: Chapter Questions
Problem 6.7P
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74. 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
Transcribed Image Text:74. 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
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