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Preterm prelabor rupture of membranes — USMLE Step 3 MCQ

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HardOB/GYN (prenatal care, contraception, screening)Preterm prelabor rupture of membranesUSMLE Step 3

A 31-year-old pregnant woman at 32 weeks' gestation has a gush of clear fluid and continued leakage. Sterile speculum examination shows pooling and ferning. She has no contractions, fever, uterine tenderness, or fetal distress. Group B streptococcus status is unknown. 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: E — Hospital admission with latency antibiotics and antenatal corticosteroids

PPROM before 34 weeks without infection or fetal compromise is managed expectantly in hospital with latency antibiotics, antenatal corticosteroids, and fetal/maternal monitoring.

Reference: ACOG prelabor rupture of membranes guidance