A 24-year-old G1P0 woman at 31 weeks’ gestation presents to the emergency department with a 4-hour history of abdominal cramping and contractions. The contractions have been regularly spaced at 10 minutes, but seem to be increasing in intensity. She has
9
votes
A. Digital cervical examination and assessment of dilation and effacement
B. Quantification of strength and timing of contractions with an external tocometer
C. Ultrasound examination of the fetus
D. Cervical culture for Group B streptococci
E. Speculum examination to rule out rupture of membranes and visually assess cervical dilation and effacement