A healthy 18-year-old patient who is 40 weeks' gestation presents at the clinic complaining of vaginal expulsion of stringy mucus followed by blood-tinged secretions. She denies any discomfort or any other changes. Based upon the patient's complaints, what is most likely to occur within the next 24 to 48 hours?
A)Onset of labor
B)Spontaneous abortion
C)Cesarean section
D)Chorioamnionitis

Question

Quizplus · Accepted Answer

The expulsion of stringy mucus followed by blood-tinged secretions is likely the mucus plug and is a sign of cervical ripening and impending labor. This is a normal process that occurs as the cervix softens and prepares for delivery. Spontaneous abortion or chorioamnionitis are not indicated by the patient's presentation, and cesarean section would not be necessary based solely on this complaint.

A Healthy 18-Year-Old Patient Who Is 40 Weeks' Gestation Presents