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 28-year-old woman, gravida 2, para 1, at 34 0/7 weeks of gestation with a dichorionic diamniotic twin gestation, presents to Labor & Delivery Triage with cramping, irregular contractions, and low back pain. She has not had a loss of fluid, vaginal bleeding, or decreased fetal movement. Her pregnancy has been uncomplicated except for a similar episode of cramping 2 weeks ago that was resolved by oral hydration after 4 hours. She has no significant medical issues or allergies, and she has a history of one uncomplicated spontaneous vaginal birth at term 15 months ago. Vital signs are stable and within normal limits. On exam, the cervix is 2 cm dilated, 25% effaced, and at -3 cm station. A non-stress test is reactive and reassuring and shows contractions every 3 to 5 minutes. A review of her chart shows a negative rectovaginal culture for group B Streptococcus (GBS) from 2 weeks ago and her blood type is B-negative. She is given oral fluids and monitored for 2 hours. On re-examination, the cervix is 4 cm dilated, 50% effaced, and at -2 cm station. The patient is admitted for observation. Which of the following is the most appropriate next step in management?
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