A primigravida in active labor has contractions every 5 minutes, cervix dilated 6 cm. What should be the next management step?

Correct option is C

At 6 cm, the patient is in active phase of labor. If contractions are regular (every 5 min), next step is monitoring FHR + contractions, not intervention.
Explanation of options: (a) ✘ Cesarean is indicated for arrest disorders, not here. (b) ✘ Augmentation only if contractions inadequate, but here they are adequate. (c) ✔ Correct; continuous monitoring is standard active labor management. (d) ✘ Episiotomy is done in 2nd stage, not active phase.