A 28-year-old woman presents to the clinic for her lab results. She is currently 20 weeks pregnant and has undergone a glucose tolerance test. The findings are as follows:
– Fasting glucose 6.9 mmol/L
– 2-hour glucose 8.5 mmol/L
What is the best course of action to take next?
A 32-year-old pregnant woman at 14 weeks gestation presents with a three-week history of severe nausea and vomiting. During examination, her pulse is 110 beats/min and blood pressure is 110/80 mmHg. The patient is also experiencing ataxia and diplopia. Urinalysis shows an increased specific gravity and 3+ ketones. The diagnosis of hyperemesis gravidarum is made, and the patient responds well to fluid resuscitation with 0.9% saline. What other treatment options should be considered for this patient?
A 16-year-old female who is 23 weeks pregnant (G1PO) arrives at the emergency department complaining of severe lower abdominal pain. She has a history of multiple sexual partners and was recently treated for gonorrhoeae with ceftriaxone. Although she does not take any regular medications, she admits to using illicit drugs such as marijuana and cocaine. During the physical examination, you notice that her uterus is hard and tender. What risk factor in her medical history is likely to contribute to her diagnosis?
A 25-year-old woman presents to the emergency department at 37 weeks of pregnancy with a chief complaint of feeling unwell and having a fever. Upon examination, she is found to have a temperature of 38ºC and a heart rate of 110 bpm. The fetus is also tachycardic. The patient reports experiencing urinary incontinence three weeks ago, followed by some discharge, but denies any other symptoms. What is the probable cause of her current condition?
A 28-year-old multiparous woman arrives at 38 weeks gestation in active labour. She has recently moved from a low-income country and has not received any prenatal care or screening tests. The patient delivers a healthy 3.5kg baby boy vaginally. However, the newborn develops respiratory distress, fever, and tachycardia shortly after birth. What is the probable cause of these symptoms?
A 28-year-old woman visits the antenatal clinic. What should be included in the standard infection screening?
A 32-year-old woman visits her physician with concerns about her pregnancy. She is currently 12 weeks pregnant and has been taking folic acid for four months prior to conception. She is curious if she needs to take iron supplements like her friends did during their pregnancies. The doctor orders blood tests to determine if this is necessary.
Hemoglobin: 112g/L (normal range: 115 – 160)
Platelets: 326 * 10^9/L (normal range: 150 – 400)
White blood cells: 4.2 * 10^9/L (normal range: 4.0 – 11.0)
What is the appropriate cut-off for hemoglobin levels to decide when to start treatment for this patient?
A woman at 12 weeks gestation experiences a miscarriage. Out of these five factors, which one is most strongly linked to miscarriage?
A 26-year-old primigravida woman is admitted to the hospital with a headache, fever, vomiting, and three episodes of convulsions. These were tonic-clonic movements lasting one to two minutes. She has no history of hypertension or epilepsy. On admission, her blood pressure was 186/136 mmHg, heart rate 115 beats per minute, and temperature 36.9ºC. The patient is started on intravenous magnesium sulfate due to the suspected diagnosis. The evening senior house officer is responsible for performing a neurological examination to monitor her reflexes. What other parameters should be monitored during this treatment?
You are a FY-1 doctor working in obstetrics. For one day a week you are based in the early pregnancy assessment unit (EPAU). You are assessing a 28-year-old female with a suspected threatened miscarriage. How does this condition typically manifest?