Continuous Leakage Of Fluid in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18127

SMLE Question #18127

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 27-year-old G2P1 at 35 weeks’ gestation presents with continuous leakage of fluid for 6 hours. She has no uterine contractions, abdominal pain, or vaginal bleeding. Sterile speculum examination confirms ruptured membranes with meconium-stained fluid. There is no uterine tenderness. Continuous fetal heart rate monitoring is reassuring. Her group B streptococcus screen earlier in pregnancy was negative. What is the most appropriate next step in management?

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