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

Question

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Answer 1

A. Digital cervical examination and assessment of dilation and effacement

Answer 2

B. Quantification of strength and timing of contractions with an external tocometer

Answer 3

C. Ultrasound examination of the fetus

Answer 4

D. Cervical culture for Group B streptococci

Answer 5

E. Speculum examination to rule out rupture of membranes and visually assess cervical dilation and effacement

First Aid / USMLE-Rx