27-year-old Primigravida in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12417
SMLE Question #12417
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 27-year-old primigravida at 41 weeks and 1 day gestation attends a routine prenatal visit. The pregnancy has been uncomplicated. Ultrasound shows a single live fetus in cephalic presentation, normal amniotic fluid, and estimated fetal weight at the 50th percentile. Cervical exam shows an unfavorable cervix (Bishop score 3). She asks about the delivery plan now that she is past her due date. What is the most appropriate next step in management?
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