Prelabor rupture of membranes Quiz: Ace Your Exams
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A 27-year-old primigravid woman at 26 weeks of gestational age presents with a gush of fluid from the vagina 1 hour ago. She has no contractions or decreased fetal movement. She is healthy, without any underlying medical problems, and her only medication is a prenatal vitamin. Temperature is 38.1°C (100.6°F), pulse is 96/min, respirations are 18/min, and blood pressure is 116/70 mmHg. The patient appears fatigued and anxious. The uterus is gravid and moderately tender to palpation. The cervix is closed on inspection, and there is a small amount of fluid in the vaginal vault. A vaginal fluid sample reveals a pH of 7.2 with a crystalline pattern on microscopy. Maternal-fetal cardiotocographic monitoring shows moderate variability and no decelerations. Which of the following would be an indication for delivery instead of inpatient expectant management?
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