03-19-2010, 07:44 PM
A 29-year-old primigravida presents to the emergency department at 19 weeks' gestation with lower pelvic pressure without contractions. She reports increased clear vaginal mucus discharge. Fetal membranes are found to be bulging into the vagina, and the cervix cannot be palpated. Fetal feet can be felt through the membranes. What is the next step in management?
a. Abdominal cerclage
b. Prophylactic antibiotics
c. Tocolysis
d. Vaginal cerclage
e. Rule out chorioamnionitis
a. Abdominal cerclage
b. Prophylactic antibiotics
c. Tocolysis
d. Vaginal cerclage
e. Rule out chorioamnionitis