A 32-year-old primigravida woman is 41 weeks pregnant and has been offered a vaginal examination and membrane sweeping at her antenatal visit. Despite these efforts, she has not gone into labor after 6 hours. Upon examination, her cervix is firm, 1 cm dilated, 1.5 cm in length, and in the middle position. The fetal head station is -3, but there have been no complications during the pregnancy. What should be the next appropriate step?
A 25-year-old primigravida woman at 36 weeks gestation comes in with mild irregular labor pains in the lower abdomen. Upon examination, her cervix is firm, posterior, and closed, and fetal heart tones are present. However, the pain subsides during the consultation. What would be the most suitable course of action?
A woman in her late twenties at 28 weeks gestation, complains of painless bright red vaginal bleeding. She mentions experiencing two previous instances of slight painless vaginal bleeding, but believes that this episode is much more severe. What is the probable diagnosis?
A 32-year-old woman who is 13 weeks pregnant had pre-eclampsia in her previous pregnancy and underwent a caesarean section at 36 weeks gestation. Her blood pressure has been normal since then and today. What intervention should be suggested to decrease the likelihood of pre-eclampsia recurrence?
A 28-year-old woman visits her GP’s office and shares the news that she has recently discovered she is pregnant. She is overjoyed and eager to proceed with the pregnancy. Currently, she is 6 weeks pregnant and feels fine without symptoms. She has no significant medical history and does not take any regular medications. She is a non-smoker and does not consume alcohol. Her BMI is 34 kg/m², and her blood pressure is 110/60 mmHg. Her urine dip is negative. She has heard that taking vitamin D and folic acid supplements can increase her chances of having a healthy pregnancy. What is the most advisable regimen for her in this situation?
A 32-year-old woman comes in for a routine antenatal check-up at 15 weeks of pregnancy. During the clinic visit, her blood pressure is measured at 154/94 mmHg, which is confirmed by ambulatory blood pressure monitoring. Four weeks prior, her blood pressure was recorded at 146/88 mmHg. A urine dipstick test shows no abnormalities, and there is no significant medical history to report. What is the probable diagnosis?
A 22-year-old woman comes to your clinic at 14 weeks into her second pregnancy. Her pregnancy has been going smoothly thus far, with a regular dating scan at 10 weeks. She came in 24 hours ago due to severe nausea and vomiting and was prescribed oral cyclizine 50 mg TDS. However, she is still unable to consume any oral intake, including fluids. Her urine dip shows ketones.
What would be the most suitable course of action to take next?
A 28-year-old female who is 14 weeks in to her first pregnancy comes for a check-up. Her blood pressure today reads 126/82 mmHg. What is the typical trend of blood pressure during pregnancy?
You are a male FY1 working in obstetrics. A 35-year-old female is on the ward in labour, 10 minutes ago she suffered a placental abruption and is in need of emergency care. Her midwife comes to see you, informing you that she is requesting to only be seen and cared for by female doctors. How do you respond?
A 35-year-old pregnant woman presents with anaemia at 20 weeks gestation. Her full blood count reveals a serum Hb of 104 g/L and MCV of 104 fL. Hypersegmented neutrophils are observed on a blood film. The patient has a medical history of coeliac disease. What is the probable reason for her anaemia?