Prolonged rupture of membranes — DRCOG MCQ

Correct answer: D — Advise hospital assessment and induction discussion

Advise hospital assessment and induction discussion is the best answer because the vignette is testing Prolonged rupture of membranes and the recommended approach is consistent with NICE NG235. The other options are less suitable because they either delay time-critical assessment, treat a different presentation, or omit the key safety step. Specifically, Repeat the pregnancy test in one week; Start combined hormonal contraception; Offer intermittent auscultation in the community; Request outpatient ultrasound in three months would be suboptimal in this scenario. In DRCOG-style primary care questions, the safest answer is usually the step that matches the acuity and gestation rather than symptomatic treatment alone.

Reference: NICE NG235