Pregnancy (Complicated) (Assessment & Diagnosis) — 29yo | Obstetrics | MCCQE1 Q#13479
MCCQE1 Question #13479
Dimension of Care
Acute Care
Activity
Assessment & Diagnosis
Objective
Pregnancy (Complicated)
Section
Obstetrics & Gynecology
Subject
Obstetrics
Last updated: February 2026
A 29-year-old G2P1 at 30+4 weeks’ gestation presents with 6 hours of regular lower abdominal cramping and pelvic pressure. Her previous pregnancy ended in a term vaginal delivery. She reports a small increase in watery vaginal discharge but no gush of fluid or vaginal bleeding. She has no fever, dysuria, or flank pain. Abdominal examination shows a gravid, non-tender uterus, and tocometry shows contractions every 6–8 minutes. Fetal heart rate tracing is reassuring. The clinician wants to evaluate for preterm labour and infection while minimizing cervical manipulation. Which physical examination approach is most appropriate at this time?
Full answer analysis and choices are available inside the practice session.
Related questions
- #13477 — A 29-year-old G2P1 at 31+4 weeks’ gestation presents to obstetrical triage becau...
- #13476 — A 29-year-old G2P1 at 33+4 weeks’ gestation is followed for decreased symphysis–...
- #13472 — A 29-year-old G2P1 at 31+4 weeks’ gestation is referred for assessment because h...
- #13470 — A 29-year-old G1P0 at 30+5 weeks’ gestation is noted to have a fundal height mea...
- #13468 — A 29-year-old G2P1 at 33+4 weeks’ gestation has a fetus measuring small for date...
- #13467 — A 29-year-old primigravida at 33+4 weeks’ gestation is diagnosed with fetal grow...