question: Q:A 31-year-old woman, gravida 2, para 1, at 32 weeks' gestation comes to the emergency department for sudden leakage of clear vaginal fluid. Her pregnancy has been uncomplicated. Her first child was born at term by vaginal delivery. She has no history of serious illness. She does not drink alcohol or smoke cigarettes. Current medications include vitamin supplements. Her temperature is 37.2°C (98.9°F), pulse is 70/min, respirations are 18/min, and blood pressure is 128/82 mm Hg. Speculum examination demonstrates clear fluid in the cervical canal. The fetal heart rate is reactive at 160/min with no decelerations. Tocometry shows uterine contractions. Nitrazine testing is positive. She is started on indomethacin. Which of the following is the most appropriate next step in management?? 
  {'A': 'Administer betamethasone, ampicillin, and proceed with cesarean section', 'B': 'Administer ampicillin and perform amnioinfusion', 'C': 'Administer ampicillin and test amniotic fluid for fetal lung maturity', 'D': 'Administer betamethasone and ampicillin', 'E': 'Administer betamethasone, ampicillin, and proceed with induction of labor'},