Intact Membranes in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#12441
SMLE Question #12441
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 24-year-old primigravida at 39 weeks’ gestation presents in spontaneous labor. She denies headache, visual symptoms, epigastric pain, or vaginal bleeding. On admission, cervical examination shows 6 cm dilation, 90% effacement, and -1 station with intact membranes. Continuous fetal monitoring is reassuring. After 4 hours of regular uterine contractions, the cervix remains 6 cm with no change in station; membranes are still intact. 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.