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

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
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ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
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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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