A multiparous woman at 38 weeks gestation is admitted to the labour ward after an artificial rupture of membranes. During four-hourly vaginal examinations, the midwife suddenly palpates the umbilical cord vaginally. The woman is placed on cardiotocography, which reveals late decelerations. What should be the midwife’s next immediate step in managing the situation?
A 32-year-old primiparous woman is 33+6 weeks pregnant. At her last antenatal appointment, she had a blood pressure reading of 152/101 mmHg. She mentions experiencing some swelling in her hands and feet but denies any other symptoms. Her urinalysis shows no protein. She has a history of asthma, which she manages with a salbutamol inhaler as needed, and depression, for which she discontinued her medication upon becoming pregnant. What is the optimal course of action?
A 30-year-old woman, para 2+ 0, has given birth to a healthy baby. The third stage of labor was actively managed with Syntocinon, cord clamping, and controlled cord traction. The midwives examined the placenta, which appeared complete. However, the woman is experiencing postpartum bleeding and has lost an estimated 1,500 ml of blood. She has no prior medical history. What is the initial pharmacological treatment of choice to stop the bleeding?
A 27-year-old woman named Priya, who moved to the UK from India 8 years ago, visited her GP with her husband. She was 32 weeks pregnant with her first child. Priya had experienced mild hyperemesis until week 16 but had an otherwise uneventful pregnancy. She reported feeling slightly feverish and unwell, and had developed a rash the previous night.
Upon examination, Priya appeared healthy, with a temperature of 37.8ºC, oxygen saturation of 99% in air, heart rate of 92 beats per minute, respiratory rate of 18 breaths per minute, and blood pressure of 112/74 mmHg. She had a macular rash with some early papular and vesicular lesions.
Further questioning revealed that Priya had attended a family gathering two weeks ago, where she spent time with her young cousins. One of her cousins was later diagnosed with chickenpox. Priya’s husband confirmed that she had never had chickenpox before.
What is the appropriate next step in managing chickenpox in this case?
A 35-year-old woman complains of lower abdominal pain during her 8th week of pregnancy. A transvaginal ultrasound reveals the presence of a simple ovarian cyst alongside an 8-week intrauterine pregnancy. What is the best course of action for managing the cyst?
A 36-year-old woman presents with increasing bloating and mild lower abdominal pain that started 3 hours ago. On examination, there is abdominal tenderness and ascites, but no guarding. She denies any vaginal bleeding. Her vital signs include a heart rate of 98/minute, a blood pressure of 90/55 mmHg, and a respiratory rate of 22/minute. The patient is currently undergoing IVF treatment and had her final hCG injection 5 days ago. She has been having regular, unprotected sex during treatment. A pregnancy test confirms she is pregnant. What is the most likely diagnosis?
A 32-year-old woman from Chad complains of continuous dribbling incontinence following the birth of her second child. She reports no other issues related to her pregnancies and is generally healthy. What is the probable diagnosis?
A 34-year-old woman delivers twin girls without any complications. What medication is commonly administered after delivery to aid in the delivery of the placenta and prevent excessive bleeding?
A 28-year-old woman comes to your GP clinic complaining of excessive nausea and vomiting. She is currently 8 weeks pregnant. She reports that she is able to keep down fluids and food and has not experienced any weight loss. However, she is finding that these symptoms are interfering with her daily activities. She has not attempted any medications to manage these symptoms.
What course of treatment would you suggest?
A 27-year-old woman at 12 weeks gestation of her first pregnancy visits her doctor complaining of tremors after starting a medication for hyperemesis gravidarum. During the examination, the patient displays a resting tremor in her right hand and heightened tone in her upper limbs. What medication is the patient likely taking?