A 32-year-old woman visits your clinic in the third trimester as her foetus is larger than expected for the gestational age. She has pre-existing type 2 diabetes and is taking medication to manage her blood glucose levels. She wants to know which medication is safe to take while breastfeeding.
Which of the following medications can she continue taking?
A 23-year-old female presents to the Emergency Department with her partner, complaining of severe abdominal pain that has worsened over the past few hours. She has vomited twice and feels lightheaded. Upon examination, she experiences tenderness in the left iliac fossa. Her vital signs are stable, except for a mild tachycardia. A urine pregnancy test confirms her pregnancy. An ultrasound performed by the Obstetrics SHO reveals an empty uterus but shows a 40mm pregnancy in her left fallopian tube. What is the appropriate management for this patient?
Which of the following presentations has the highest morbidity and mortality rate?
A 28-year-old primiparous woman is experiencing a prolonged labour after being induced at 41 weeks gestation. Currently, she is 6 cm dilated and the fetal head is 1 cm above the ischial spines. The midwife contacts you to assess her CTG. The fetal heart rate is continuously decreasing and has been below 100 beats per minute for over 3 minutes without any signs of recovery.
What would be the most appropriate course of action to take at this point?
A 29-year-old woman who is 36 weeks pregnant arrives at the Emergency Department with a complaint of her ‘waters breaking’. She reports experiencing a sudden release of clear fluid from her vagina, which has now reduced to a trickle, and she feels some pressure in her pelvis. What is the most suitable test to conduct next?
A 32-year-old woman is undergoing a dating ultrasound scan and is found to be carrying monochorionic twins. Her midwife informs her that she will require frequent scans during her pregnancy. What is the primary purpose of ultrasound monitoring between 16 and 24 weeks gestation for this particular pregnancy?
A 29-year-old woman is being monitored with cardiotocography (CTG) during her labor. What would be considered an ‘abnormal’ characteristic of the CTG tracings?
A new father who is 5 weeks post-partum comes in for a check-up. He has noticed a warm, red tender patch on his left breast just lateral to the areola. This has been worsening over the past four days and feeding is now painful. He saw the midwife yesterday who assisted with positioning but there has been no improvement. Upon examination, he has mastitis of the left breast without visible abscess. What is the best course of action for management?
Sarah is a 28-year-old woman who comes to see you for a follow-up visit. You initially saw her 1 month ago for low mood and referred her for counselling. She states she is still feeling low and her feelings of anxiety are worsening. She is keen to try medication to help.
Sarah has a 5-month-old baby and is breastfeeding.
Which of the following is the most appropriate medication for her to commence?
A 28-year-old woman who is 20 weeks pregnant comes to you with worries. She recently had contact with her friend’s child who has been diagnosed with chickenpox. She cannot remember if she has had chickenpox before and is not experiencing any symptoms of infection at the moment.
Varicella Zoster Antibodies Negative
What steps should you take in this situation?