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 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?
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?