This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Normal Labour, Subject name: Gynaecology & Obstetrics
A Primipara complains of sudden onset vaginal discharge at 32 weeks of pregnancy.P/A = No contractionsCephalic presentationFetal heart sounds = NormalWhat is the first step in management? 
Select and explain. 
A. Start broad spectrum antibiotics, B. Start corticosteroid, C. Perform sterile perspeculum examination, D. Perform sterile vaginal examination
C: Perform sterile perspeculum examination
Answer: C: Perform sterile perspeculum examination 
Explanation: Ans. is c, i.e. Perform sterile perspeculum examinationThe first step in the management is to perform a sterile speculum examination.