Q. A 24-year-old primigravida at 33 weeks gestation comes to the emergency room for blood-stained mucus discharge per vaginum along with abdominal cramping since morning. Her temperature is 98.4°F (36.9°C), pulse is 80/min, blood pressure is 120/86 mmHg, and respirations are 14/min.
Physical examination is consistent with 33 weeks of gestation. The fetal heart tracing shows a rate of 150/min without decelerations. A tocometer detects uterine contractions every 10 minutes lasting 30 seconds each. Sterile speculum examination shows a 3 cm dilated cervix and a scanty bloody mucus.
What is the most appropriate next step in the management of this patient?