Prelabor rupture of membranes Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 28-year-old woman, gravida 2, para 0101, at 36 weeks of estimated gestational age (EGA), presents after experiencing a large gush of fluid from the vagina 30 minutes ago. She reports no contractions, vaginal bleeding, or decreased fetal movement. Her first pregnancy was complicated by a spontaneous preterm birth at 32 weeks EGA three years ago. Her only medication is a prenatal vitamin, and she has no allergies. Temperature is 36.9°C (98.4°F), pulse is 72/min, respirations are 18/min, and blood pressure is 120/80 mmHg. During the speculum examination, straw-colored clear fluid accumulates within the posterior speculum blade. The cervix is visually 3 cm dilated, and a pulsating purple mass is visible within the cervical canal. The fetal heart rate is in the 130s, with moderate variability and recurrent spontaneous variable decelerations to the 60s. No contractions are noted on tocometry. The patient’s group B Streptococcus (GBS) status is unknown. Which of the following is the most appropriate next step in management? 

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