You assess a 27-year-old patient who is 10-weeks pregnant. She is concerned as she had contact with someone with chickenpox two days ago. She is unsure if she had chickenpox in her childhood.
What is the MOST suitable initial course of action?
A 25-year-old woman comes to the emergency department with severe and continuous nausea and vomiting. She is currently 8 weeks pregnant. She is struggling to retain any food and has experienced slight weight loss over the past two weeks. Her vital signs are as follows: heart rate 103 beats per minute, respiratory rate 14 breaths per minute, blood pressure 113/70 mmHg. Her abdomen is soft and not tender, and a urine dipstick test shows 3+ ketones.
What is the MOST likely diagnosis?
A 25-year-old woman presents to the emergency department with severe and persistent nausea and vomiting. She is currently 8 weeks pregnant. She is struggling to keep anything down and has experienced some weight loss over the past couple of weeks. Her vital signs are as follows: heart rate 103 bpm, respiratory rate 14, blood pressure 113/70 mmHg. Upon examination, her abdomen is soft and nontender, and a urine dipstick reveals 3+ ketones.
What is the MOST appropriate initial anti-emetic medication to be used in this case?
A 28-year-old woman who is 8-weeks pregnant is brought to the hospital due to hyperemesis gravidarum.
Which of the following is the LEAST probable complication associated with this condition?
A 32 year old male presents to the emergency department complaining of sudden shortness of breath. During the initial assessment, the patient mentions that he is currently 28 weeks into his partner’s pregnancy. While the nurse is still conducting the assessment, the patient suddenly collapses and the nurse urgently calls for your assistance. The patient has no detectable pulse and is not making any effort to breathe. You decide to initiate cardiopulmonary resuscitation (CPR).
What adjustments should be made to the management of cardiac arrest when performing CPR on a pregnant patient?
You evaluate a 45-year-old woman who presents with lower abdominal and pelvic pain. During a bimanual vaginal examination, you detect a significant pelvic mass. She has no significant medical history or gynecological issues, such as uterine fibroids.
What would be the MOST suitable next step in managing this patient?
A 25-year-old woman is brought in by ambulance following a car crash where she was a passenger in a vehicle struck by a truck at a high velocity. She is 32 weeks pregnant.
What is the primary cause of fetal demise in traumatic incidents during pregnancy?
A 28-year-old woman gives birth to a baby with microcephaly at 36-weeks gestation. She remembers experiencing a flu-like illness and skin rash early in the pregnancy after being bitten by a mosquito while visiting relatives in Brazil.
What is the SINGLE most probable organism responsible for causing this birth defect?
A 32-year-old woman arrives at the Emergency Department. She is 14 weeks pregnant and has experienced a significant amount of vaginal bleeding accompanied by the passage of blood clots. She reports feeling lightheaded. Her prenatal blood tests indicate that she is Rh-negative. Her vital signs are as follows: heart rate of 46, blood pressure of 82/43, respiratory rate of 22, and oxygen saturation of 94% on room air. The resuscitation nurse has successfully inserted an intravenous line, and a comprehensive set of blood samples, including a cross-match, has been sent to the laboratory.
What is the MOST LIKELY diagnosis in this case?
A 32-year-old woman came in ten days ago with a fever, tenderness in the suprapubic area, and discharge from the vagina. The doctor diagnosed her with pelvic inflammatory disease and started her on antibiotics. She initially got better but now she is back with intense pain in her lower abdomen and a temperature of 39.5°C.
What is the MOST suitable first test to perform?