Review Question - QID 210998

A 29-year-old G1P0 woman at 32 weeks gestation comes to the office for a prenatal appointment. She reports an increase in white, thin, and malodorous vaginal discharge. She now uses a panty liner and says she has become embarrassed during her workout classes due to the smell. She denies fever, abdominal pain, dysuria, itching, or urinary frequency. The patient reports good fetal movement. She has maturity onset diabetes of the young, which is well controlled. She had a tonsillectomy as a child. The patient exercises 4 days a week with weight lifting and yoga. She denies tobacco, alcohol, or illicit drug use. During the past 8 months, she has been sexually active with multiple partners, both men and women. The fundal height is 31 cm. The fetal heart rate is 155/min. Her temperature is 98°F (36.7°C), blood pressure is 125/71 mmHg, pulse is 82/min, respirations are 12/min, and oxygen saturation is 98% on room air. Pelvic examination reveals a nontender, closed cervix with thin, gray vaginal discharge and no leakage of fluid. No vesicles, ulcers, or abnormal lesions are seen. Microscopy of the vaginal fluid is show in Figure A. Cultures are pending. Which of the following is the most appropriate management of this patient’s condition?