Painful Uterine Contractions Every in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#454
SMLE Question #454
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 26-year-old primigravida at 31 weeks’ gestation presents with painful uterine contractions every 5 minutes for 2 hours. On speculum and digital examination, the cervix is 2 cm dilated and 60% effaced. Membranes are intact, and there is no vaginal bleeding or fever. Fetal status is reassuring. Which of the following is the most appropriate first-line tocolytic therapy?
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