In the scenario of suspected preterm PROM at 24 weeks, what is the appropriate initial action?

• A. Admit to the High-Risk Antepartum Unit
• B. Discharge home with return precautions
• C. Admit to the Labor and Delivery unit
• D. Place on full bed rest at home

Answer: (A)

Suspected preterm PROM at 24 weeks requires hospitalization in a high‑risk antepartum unit for close maternal–fetal surveillance. In the early preterm period, rupture of membranes carries a real risk of infection for the mother and neonatal complications for the baby, and the situation can change quickly. Being in a high‑risk unit allows continuous fetal heart monitoring, regular maternal assessments, and timely diagnostic workup to confirm rupture and rule out infection. It also enables prompt treatment plans such as latency antibiotics to reduce infection risk and considerations for corticosteroids to promote fetal lung maturity if appropriate. Discharging home would leave both mother and fetus vulnerable to infection and sudden deterioration. Putting someone in labor and delivery isn’t appropriate when there isn’t active labor, and sending the patient home to be on full bed rest doesn’t provide the needed monitoring or access to therapies.