A 28-year-old first-time mother had a normal vaginal delivery at term. The baby’s birth weight was 2 100 g. She wanted to breastfeed but is wondering whether she should supplement feeds with formula to help the baby’s growth.
Which of the following best applies to the World Health Organization (WHO) recommendations for feeding in low-birthweight infants?
A 32-year-old teacher with type II diabetes is 5-months pregnant with her first child. Following reviewing the patient in prenatal clinic, you are interested to find out more about stages of fetal development.
During the fifth (gestational) month of human development, which organ is the most active site of formation of formed elements of the blood?
A 32-year-old G3P0 attends the practice for review, following a miscarriage at 16 weeks’ gestation. She reports that in her other two pregnancies, she miscarried at 15 weeks’ and 18 weeks’ gestation, respectively. In all three pregnancies, she had ultrasound scans that were consistent with her dates.
What could be a potential factor that contributed to her recurrent miscarriages?
A 29-year-old woman is admitted to the Labour Suite, 2 weeks post-due date, for induction of labour. She is assessed using the Bishop’s scoring system and is noted to have a score of 5.
What is the recommended treatment for this patient?
A 26-year-old woman presents with significant vaginal bleeding and is diagnosed with a hydatidiform mole. The uterus is evacuated, but she continues to feel unwell and her β-human chorionic gonadotrophin (β-HCG) levels continue to increase in the following weeks.
What is the most probable diagnosis?
A 31-year-old woman in the fifteenth week of pregnancy comes to the Emergency Department with vomiting and vaginal bleeding. During the examination, the doctor observes that her uterus is larger than expected for her stage of pregnancy. An ultrasound scan shows a snowstorm appearance with numerous highly reflective echoes and vacuolation areas within the uterine cavity.
What is the most probable diagnosis in this scenario?
You are asked to see a patient on the Pediatric Ward who is suffering from severe eclampsia. Two hours previously, she began to bleed profusely from her cannula site. After checking her coagulation screen, you are suspicious she has developed disseminated intravascular coagulation (DIC).
Which one of the following test result would you expect in a diagnosis of DIC?
A 28-year-old woman, a smoker, was referred to the Antenatal Unit with a small amount of dark brown vaginal bleeding at 39+2 weeks’ gestation. On admission, a speculum examination showed some old blood in the vagina, but no evidence of active bleeding. The cervix was long, and the os closed. Patient observations were stable, and an ultrasound scan was unremarkable. Two hours later, the emergency alarm is heard. The patient is in distress with extreme abdominal pain and fresh vaginal bleeding. The CTG records a prolonged deceleration of four minutes.
What is the most appropriate next step in the management of this patient?
A 32-year-old primip presents on day seven postpartum with unilateral breast pain. The pain started two days ago and is not accompanied by any other symptoms. She is struggling with breastfeeding and thinks her baby is not feeding long enough.
On examination, you notice an erythematosus, firm and swollen area, in a wedge-shaped distribution, on the right breast. The nipple appears normal.
Her observations are stable, and she is apyrexial.
Given the above, which of the following is the most likely diagnosis?
A 30-year-old woman presents at 28 weeks’ gestation with a 3-day history of dysuria, urinary frequency and mild lower abdominal pain. A urine dipstick was performed, showing 2+ blood, and is positive for nitrites. There is no glycosuria or proteinuria. The patient has previously had an allergic reaction to trimethoprim.
What is the most appropriate antibiotic for treating this patient’s urinary tract infection?