A woman who is 32 weeks pregnant attends her antenatal appointment for her combined screening test. She gives her consent and undergoes the standard screening test, which includes blood tests and an ultrasound scan. After the test, she is informed that her results suggest the possibility of Down’s syndrome and is offered further discussion. What are the expected results in this scenario?
A 28-year-old woman presents to the antenatal clinic for a routine visit and is found to have a blood pressure of 165/111 mmHg and ++proteinuria on urinalysis. Her doctor suspects pre-eclampsia and admits her to the obstetrics assessment unit. She has recently moved to the area and her medical records are not available. She is otherwise healthy and only uses blue and brown inhalers for her asthma, for which she recently completed a 5-day course of steroids after being hospitalized for a severe exacerbation. What medication should be used to manage her hypertension?
A 28-year-old woman comes to the clinic with her worried partner. She has been exhibiting unpredictable mood swings since giving birth to their daughter 10 days ago. During the appointment, she seems restless and agitated. Her partner shares that she has been avoiding sleep due to her fear that something terrible will happen to their baby. The patient has a history of depression but has not taken her fluoxetine medication for 4 months because of concerns about potential complications. What is the best course of action for managing her symptoms?
A 32-year-old woman, 3 weeks postpartum, is brought in by her sister after claiming her baby is possessed by demons. She has been experiencing insomnia and conversing with imaginary individuals. Her sister reports that she has been exhibiting extreme mood changes over the past few weeks and is worried about the safety of the baby. The patient has no significant medical or psychiatric history, and there is no family history of mental illness. What is the recommended course of action for managing this condition?
A 35-year-old woman visits the GP clinic complaining of nausea and vomiting. She is currently 8 weeks pregnant and it is her first pregnancy. She desires an antiemetic to use during the first trimester so she can continue working. She is not experiencing dehydration, has no ketonuria, and can retain fluids. She has no previous medical conditions. What is the best course of action for her management?
A 33-year-old woman at 12 weeks gestation presents to out-of-hours care with a 4-week history of nausea and vomiting. She has vomited 5 times in the past 24 hours but can still drink water. She denies any abdominal pain, bowel habit changes, dizziness, dysuria, or vaginal bleeding. Her vital signs are stable with a temperature of 37.2ºC, heart rate of 80 bpm, and blood pressure of 120/80 mmHg. Her abdomen is non-tender. She has lost 5 kg since her pre-pregnancy weight of 70 kg. Urine b-hCG is positive and a dipstick shows no blood, nitrates, or ketones. Despite trying oral cyclizine, she has not found any relief. What is the most appropriate immediate next step in her management?
A 32-year-old woman who is 32 weeks pregnant presents with vaginal bleeding and is diagnosed with placenta accreta. What is the primary risk factor associated with this condition?
A 32-year-old, G2P1, presents to the obstetrics assessment unit with vaginal bleeding and mild abdominal pain at 15 weeks gestation. What aspect of her medical history would raise concern for a possible miscarriage?
Which of the following events during pregnancy can potentially sensitize a RhD-negative woman and necessitate the administration of anti-D?
A 35-year-old primigravida presents for her 9-week antenatal appointment. She recently had a private ultrasound which revealed dichorionic, diamniotic twins. The patient has a medical history of hypothyroidism and a BMI of 38 kg/m². Although she has been smoking during her pregnancy, she has reduced her intake from 20 to 5 cigarettes per day and is interested in trying nicotine replacement therapy. Her main concern is that both her mother and sister suffered from hyperemesis gravidarum. What factor in her history is linked to a lower likelihood of developing this condition?