39. A 24-year-old primigravid woman at 37 weeks' gestation is admitted because of ruptured membranes and contractions for 6 hours. Contractions occur every 3 minutes and last 45 seconds. The fetal heart rate is 140/min. Clear fluid in the vagina tests positive with nitrazine. Which of the following is the most appropriate next step in management? OA) Determination of the pH of the vaginal fluid OB) Ultrasonography to assess amniotic fluid volume OC) Digital examination of the cervix OD) Internal monitoring of the contractions OE) Amniocentesis for fetal maturity

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