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Preterm premature rupture of membranes — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Preterm premature rupture of membranesUSMLE Step 3

A 26-year-old woman at 32 weeks' gestation reports a gush of fluid. Pooling and ferning are present. She is afebrile, fetal status is reassuring, and there are no contractions. Which of the following is the most appropriate at this time?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Admit for expectant management with latency antibiotics and corticosteroids

Preterm prelabor rupture of membranes before 34 weeks is generally managed inpatient with monitoring, antenatal corticosteroids, and latency antibiotics when no infection or fetal compromise is present.

Reference: ACOG prelabor rupture of membranes guidance