A 22 year old G1P0 woman at 28 weeks’ gestation presents with menstrual like cramps, pelvic pressure and clear vaginal discharge that started about 4 hours ago. Her blood pressure (BP) is 110/60 mmHg and heart rate (HR) 103 beats per minute. The abdomen is nontemder. What should be done first? A. Sterile Speculum examination to visualize the cervix, membranes and collect vaginal fluids B. Ultrasound examination C. Digital examination with sterile glives D. Urine and rectal cultures
[Expert Solution]: A 22 year old G1P0 woman at 28 weeks’…
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