A 29-year-old primigravida at 39 weeks of gestation presents to the GP reporting a gush of clear fluid from the vagina 4 hours ago. She has no contrac...

Question

A 29-year-old primigravida at 39 weeks of gestation presents to the GP reporting a gush of clear fluid from the vagina 4 hours ago. She has no contractions and no vaginal bleeding. She is GBS negative. Which is the single most appropriate advice?

Accepted Answer

Advise her to attend the maternity triage unit for assessment

Answer

Reassure and advise to wait for contractions to start at home

Answer

Prescribe oral erythromycin and advise expectant management at home

Answer

Advise bed rest and a pad check in 12 hours

Answer

Perform a speculum examination in the GP surgery

uk-drcog MCQ (SBA): Prelabour Rupture of Membranes at Term

A 29-year-old primigravida at 39 weeks of gestation presents to the GP reporting a gush of clear fluid from the vagina 4 hours ago. She has no contractions and no vaginal bleeding. She is GBS negative. Which is the single most appropriate advice?