Question

A 32-year-old G2P1 is at 42 weeks gestation. Her prenatal course was uncomplicated and she had a first trimester ultrasound confirming dates. Her cervix is 4 cm dilated and 100

1) Ultrasound to assess amniotic fluid volume
2) Twice weekly non-stress test (NST) and amniotic fluid index (AFI)
3) Daily biophysical profiles
4) Induction
5) Ultrasound to assess fetal growth

Answer 1

The appropriate course of action for a 32-year-old G2P1 at 42 weeks gestation would include NST and AFI, induction, and an ultrasound to assess fetal growth.

Step-by-step explanation:

Based on the information provided, the appropriate course of action for a 32-year-old G2P1 at 42 weeks gestation with a dilated cervix of 4 cm and intact amniotic sac would be:

1. Twice weekly non-stress tests (NST) and amniotic fluid index (AFI) to monitor fetal well-being.
2. Induction to initiate labor since the pregnancy has exceeded 42 weeks gestation.
3. Ultrasound to assess fetal growth.

These interventions are commonly recommended for post-term pregnancies to ensure the safety of both the mother and the baby.