Preterm labor 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 36-year-old woman, gravida 2, para 0, aborta 1, at 32 2/7 weeks estimated gestational age (EGA), presents with light spotting and moderate cramping after intercourse with her male partner 8 hours ago. She has had no loss of fluid or decreased fetal movement. She receives regular prenatal care, and the pregnancy has been uncomplicated until this point. Past obstetric history is notable for a spontaneous miscarriage at 11 weeks EGA that was managed expectantly 12 months ago. She has a history of hypothyroidism, controlled with levothyroxine, and she takes prenatal vitamins. She has not used tobacco, alcohol, or other recreational substances during pregnancy. Vital signs are normal, and pre-pregnancy body mass index was 28 kg/m2. The fetal heart rate is in the 150s. The physician prepares for pelvic exam. Based on the history, should fetal fibronectin (fFN) be collected and sent for evaluation in this patient?

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Choose an option:

Yes, the specimen should be collected and sent, regardless of additional findings.

It should be collected, but only sent for evaluation if cervical dilation is < 3 cm.

No, an fFN is not indicated based on her gestational age.

No, the results will be unreliable.

It should be collected, but only sent for evaluation if the cervical length is between 20 and 30 mm.