A 42-year-old woman, gravida 4, para 3, at 31 weeks' gestation comes to the labor and delivery ward because of contractions. The contractions started 3 hours ago and are now coming every 5 minutes. The patient has had no leakage of fluid. Examination reveals that her cervix is 2 cm dilated and 75% effaced. A previous cervical examination done 2 days ago during a prenatal visit showed her cervix to be long and dosed. The fetal heart rate is in the 150s and reactive. The patient is started on IV magnesium sulfate and penicillin. Which of the following is the most appropriate additional pharmacotherapy for this patient? (A) Ampicillin (B) Dexamethasone (C) Gentamicin (D) Terbutaline (E) Tetracycline
Gentamicin .. due to long cervix there is a potential risk of transfer of bacterial flora to the baby
