6 Hours Of Vaginal in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12037
SMLE Question #12037
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 27-year-old primigravida at 34+0 weeks presents with 6 hours of vaginal fluid leakage. She has no contractions or uterine tenderness. Speculum examination shows pooling of brown-tinged fluid in the vaginal fornix; the cervix is 2 cm dilated. Ultrasound confirms a cephalic fetus with the head at −1 station. Fetal heart rate tracing is reassuring. Her group B streptococcus (GBS) status is unknown this pregnancy. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.