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Woman at 31 weeks gestation presents with watery discharge from the vagina for 2 hours. Which is the next step in management? nitrazine test of mucous from cervix, ferning test using vaginal fluid, digital exam of cervix, determine AFI, non stress test - ferning test on vaginal fluid (NOT cervical mucous because this can cause false ferning patterns) 29 y.o. woman at 31 weeks presents with PPROM 6 hrs ago. She notes that she has had occassional contractions. Her prenatal course has been uncomplicated and she takes vitamins and iron. What is the role of tocolysis in this patient? - Delay deliver to administer steroids 25 y.o. G1P0 woman at 29 wks presents with contractions every 3 min. BP 120/70, HR 100 bpm, temp 100.7, fetal heart tones 160 bpm. Deep variable decels present. Pelvic exam reveals gross rupture of membranes and her cervix is dilated to 6 cm and U/S reveals baby is breech. What explains the variable decels? - premature rupture of membranes 33 y.o. G2P1 at 29 wks presents with PPROM. denies labor. Prior pregnancy delivered vaginally at 41 weeks after spontaneous ROM. Nest best step? - Ampicillin and Erythromycin

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