Essential Neonatal Medicine

Sixth Edition

Sunil Sinha, Lawrence Miall and Luke Jardine

Multiple Choice QuestionsReturn to MCQ contents list »

Chapter 25: Question 1

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25.1 A 20-year-old primigravid woman presents at 27 weeks' gestation to a small peripheral hospital that delivers only 100 babies per year. The hospital does not have a neonatal nursery. She has ruptured her membranes and on speculum examination there is pooling of fluid and her cervix is long and closed. She is having some irregular painful contractions (1 in 10). Which one of the following is the most appropriate next step in her management?

A Reassure her that she is not in labour.
B Await delivery and then arrange retrieval of the baby.
C Transfer baby in utero to facility with neonatal intensive care.
D Administer IM steroids and IV antibiotics to the mother.
E Commence tocolytic medications.