4. A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21 weeks' gestation. The cervical changes are found. She denies any complaints, including contractions. On sterile speculum exam she is noted to be dilated 1-2 cm with bulging membranes just past the level of the external os. She undergoes 24 hours of observation on labor and delivery without any change. When counseling the patient regarding her management options, you offer her expectant management versus intervention. Which intervention is most appropriate?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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4. A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21
weeks' gestation. The
cervical changes are found. She denies any complaints, including contractions.
On sterile speculum exam she
is noted to be dilated 1-2 cm with bulging membranes just past the level of the
external os. She undergoes 24
hours of observation on labor and delivery without any change. When counseling
the patient regarding her
management options, you offer her expectant management versus intervention.
Which intervention is most
appropriate?
OA. Cerclage placement
B. Daily vaginal progesterone
OC. 17-Hydroxyprogesterone acetate injections weekly
D. Expectant management with repeat cervical length in 1 week
Transcribed Image Text:4. A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21 weeks' gestation. The cervical changes are found. She denies any complaints, including contractions. On sterile speculum exam she is noted to be dilated 1-2 cm with bulging membranes just past the level of the external os. She undergoes 24 hours of observation on labor and delivery without any change. When counseling the patient regarding her management options, you offer her expectant management versus intervention. Which intervention is most appropriate? OA. Cerclage placement B. Daily vaginal progesterone OC. 17-Hydroxyprogesterone acetate injections weekly D. Expectant management with repeat cervical length in 1 week
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