Large Gush Of Clear in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#16701

SMLE Question #16701

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 23-year-old primigravida at 38 weeks presents in active labor shortly after spontaneous rupture of membranes with a large gush of clear fluid. She then feels something protruding into the vagina with severe pelvic pressure. On vaginal examination, a pulsating umbilical cord is palpated in front of the presenting part. Continuous cardiotocography (CTG) is started to assess fetal status. Which CTG pattern is most expected?

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