06-18-2007, 09:41 PM
45. A 30-year-old woman, gravida 4, para 3, is admitted to the hospital in labor at 38 weeks' gestation. The cervix is 4 cm dilated. Contractions occur every 4 minutes. The fundal height is 40 cm. The membranes are intact. The fetal lie cannot be determined by abdominal examination, and no presenting part is palpable in the pelvis. Which of the following is the most appropriate next step in management?
A
) Ultrasonography
B
) Administration of oxytocin
C
) Administration of tocolytic drugs
D
) Amniotomy
E
) Cesarean delivery
A
) Ultrasonography
B
) Administration of oxytocin
C
) Administration of tocolytic drugs
D
) Amniotomy
E
) Cesarean delivery