Continued Leakage in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17294

SMLE Question #17294

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old primigravida at 33 weeks’ gestation reports a sudden gush of clear vaginal fluid 4 hours ago with continued leakage. She has no fever, uterine tenderness, contractions, or vaginal bleeding. Sterile speculum examination shows pooling of clear fluid with positive nitrazine and ferning tests; the cervix is 1 cm dilated. She is managed for preterm prelabor rupture of membranes with antibiotics and expectant care. What is the main neonatal benefit of maternal antibiotics in this setting?

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