A 28-year-old woman comes in for her 6-week postpartum check-up. She did not breastfeed and had a normal delivery. She wants to begin using contraception but is worried about any potential delay in her ability to conceive again within the next 1-2 years. What factor is most likely to cause a delay in her return to normal fertility?
A 29-year-old female presents 7 weeks postpartum and inquires about safe contraceptive options while exclusively breastfeeding her baby. Which method of contraception should she avoid?
During her prenatal appointment, a mother informs her obstetrician that she was previously diagnosed with immune thrombocytopenic purpura (ITP). What is the procedure that poses the highest risk of bleeding in the newborn?
A 27-year-old woman comes in for her regular prenatal check-up at 30 weeks gestation. She reports feeling well and has had an uncomplicated pregnancy thus far. Her vital signs are as follows:
Respiratory rate: 18 breaths/min
Heart rate: 70 beats/min
Blood pressure: 130/88 mmHg
Temperature: 37.2ºC
Oxygen saturation: 97% on room air
Urinalysis results show:
Protein: +
Glucose: –
Nitrites: –
What is the most appropriate course of action for this patient?
A 32-year-old woman presents to your GP clinic, 6 months after giving birth. She complains of persistent palpitations, a weight loss of 4 kg since delivery, and some tremors in her hands. She mentions that her baby is healthy and she is bottle feeding. After conducting thyroid function tests, the results are as follows:
TSH 3.2 mU/L
T4 21 pmol/L
What is the most suitable treatment for the likely diagnosis?
A 32-year-old woman gives birth to her second child. The baby is born via normal vaginal delivery and weighs 3.8 kg. The baby has a normal Newborn and Infant Physical Examination (NIPE) after birth and the mother recovers well following the delivery. The mother wishes to breastfeed her baby and is supported to do so by the midwives on the ward.
They are visited at home by the health visitor two weeks later. The health visitor asks how they have been getting on and the mother explains that she has been experiencing problems with breastfeeding and that her baby often struggles to latch on to her breast. She explains that this has made her very anxious that she is doing something wrong and has made her feel like she is failing as a mother. When her baby does manage to latch on to feed he occasionally gets reflux and vomits afterward. The health visitor weighs the baby who is now 3.4kg.
What is the next most appropriate step?
A 29-year-old G1P0 28 weeks pregnant African American woman presents for her antenatal screening. Her BMI is 23 kg/m², her BP is 136/82 mmHg, her symphysis-fundal height is 29cm and her urine dipstick results are as follows:
Test Results
Ketones negative
Blood negative
Protein negative
Glucose trace
Nitrites negative
Leukocytes negative
What would be the most suitable course of action next?
A 25-year-old woman who is 28 weeks pregnant attends the joint antenatal and diabetes clinic for a review of her gestational diabetes. She was diagnosed with gestational diabetes at 24 weeks gestation after glucose was found on a routine urine dipstick. Despite a 2-week trial of lifestyle modifications, there was no improvement. She was then started on metformin for the past 2 weeks, which has also not improved her daily glucose measurements. During examination, her symphysio-fundal height measures 28 cm and foetal heart rate is present. What is the next appropriate step in her management?
A 32-year-old patient who is currently 20 weeks pregnant presents to your clinic with an itchy rash on her back and legs, which began last night. She had been in contact with her nephew who was diagnosed with shingles. She is unsure if she has had chickenpox before. Upon examination, there are red spots and blisters on her back and legs. She reports feeling well and all vital signs are normal.
What would be your next course of action?
You are working at a prenatal care center. A couple comes in who are 28 weeks pregnant. They had difficulty getting pregnant naturally but were able to conceive through their second attempt at IVF. This is their first child. During their 14 week ultrasound, the sonographer expressed concern about the placement of the placenta and they have returned for a follow-up scan today, which confirms the initial finding. What is the probable anomaly?