prasannakumar
Forum Senior
Topics: 24
Posts: 55
|
32-year-old G3 P3 woman, at 30-weeks gestation, presents with new onset of regular and painful uterine contractions, 5-hours ago. Her prior obstetrical history is positive for preterm labor at 28-weeks gestation, in her second pregnancy. Her current pregnancy was uneventful, so far. She denies leakage of fluid or bleeding from the vagina and denies dysuria, urgency or vaginal discharge. Her vitals are: Temperature: 37C(98.7F); BP: 125/70mm Hg; PR: 80/min; RR: 18/min. Pelvic examination reveals a soft, partially effaced and posterior cervix, dilated at 2cm, and a negative Nitrazine test. Nonstress test reveals a reassuring fetal heart pattern and uterine contractions occurring every 7- minutes. Of the following, what is the most appropriate next step in management?
A) Tocolysis with magnesium sulfate
B) Hydration and bed rest
C) Reassurance and discharge home
D) Hasten delivery
E) Perform cerclage
|
| arciniega
Forum Senior
Topics: 1
Posts: 74
|
E
___________________
100% Mexican IMG - Dra.Arciniega - UAG
|
| sprint123
Forum Guru
Topics: 129
Posts: 870
|
IV hydration can control preterm labor along with bed rest.
Tocolysis with mgSo4 is also attractive since the aptient has no contra-indications for tocolysis.
I will go with Hydration first since the cervix is only posterior and then .IF NOT WORKS--->Tocolysis
|
| MAGY17
Forum Elite
Topics: 30
Posts: 234
|
ans is a
|
| usmlestud
Forum Junior
Topics: 6
Posts: 68
|
b......
|
| young_doc
Forum Guru
Topics: 56
Posts: 735
|
B.
Try bed rest + hydration first.
If fails, Tocolysis.
___________________
First Aid is my Bible...
|
| bioguy
Forum Guru
Topics: 65
Posts: 961
|
again, i am reviving all tocolysis questions
___________________
??/??/CS pass/??/4USlors/Need Visa - ok, i also need a good USMLE score !
|
| nightflight1945
Forum Guru
Topics: 36
Posts: 919
|
B) Hydration and bed rest
___________________
STEP 1 99/269 , STEP 2 99/276 AND I'M STUDYING FOR STEP 3 . "My comments are the exact truth , you understand some now and the rest one day in the future , Do not regret then!" "Silly Questions are followed by Silly answers , Life's fair isn't it?" REGARDS
|
|
| |
| | | | | | | | |
