Intermittent Lower Abdominal Pain in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#18592
SMLE Question #18592
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 26-year-old G1P0 at 39+2 weeks presents to labor and delivery with intermittent lower abdominal pain and irregular uterine contractions. She reports good fetal movement and no vaginal bleeding or fluid leakage. Fetal heart rate tracing is reassuring. After 3 hours of observation, contractions remain irregular and the cervix is unchanged at 1 cm dilation, 30% effacement, and −3 station. What is the most appropriate management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.