PREMATURE RUPTURE OF

MEMBRANES

A   22-year-old primigravida    at  33  weeks’  gestation   comes   to  the birthing

unit    stating that    2   h   ago she had a   gush    of  fluid   from    her vagina. She denies

vaginal bleeding    or  uterine contractions.   Her perineum    appears moist   to

gross   inspection. On  examination her temperature is  38.9    C   (102    F).