Intraamniotic infection Quiz: Ace Your Exams
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A 24-year-old woman, gravida 1 para 0, at 37 weeks of gestation is in labor for an anticipated spontaneous vaginal delivery and is found to have a fever. Contractions are occuring every five minutes. Labor has been complicated by prolonged rupture of membranes. The pregnancy has otherwise been uncomplicated. The patient has no significant past medical history. Temperature is 38°C (100.4°F) and is the same when taken 30 minutes later, heart rate is 110 bpm, respirations are 20/min, and blood pressure is 110/60 mmHg. Abdominal examination demonstrates fundal tenderness. Monitoring demonstrates a fetal heart rate of 170 bpm. Which of the following clinical factors in this case indicates the need for treatment with antibiotics?
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