PLE-4369

PLE-4369

A 23-year-old G1 at 38 weeks gestation presents in active labor at 6 cm cervical dilatation with ruptured membranes. On cervical examination, the fetal nose, eyes, and lips can be palpated. The fetal heart rate tracing is 140 beats per minute with accelerations and no decelerations. The patient’s pelvis is adequate. Which of the following is the most appropriate management for this patient?