Regular Painful Contractions in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18207

SMLE Question #18207

Obstetrics & Gynecology General Gynecology

Objective: OBJ-OBG-001

Last updated: February 2026
A 29-year-old primigravida at 38+2 weeks presents in labor with regular painful contractions. She had spontaneous rupture of membranes with clear fluid. Cervix is 4 cm dilated and 80% effaced, and the presenting part is high. Bedside ultrasound confirms a frank breech presentation. Continuous cardiotocography is reactive without decelerations. She has no prior uterine surgery or obstetric complications. What is the most appropriate next step in management?

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