Complications of Pregnancy

Topics in this chapter

• Hypertensive Disorders of Pregnancy
• Antepartum Hemorrhage and Placental Disorders
• Gestational Diabetes and Metabolic Complications
• Hyperemesis, Cholestasis, and Nutritional Disorders
• Rh Isoimmunization and Fetal Complications
• Gestational Trophoblastic Disease

Practice questions

1. Question 1Q-C5A420

   A 28-year-old primigravida at 34 weeks of gestation presents with sudden onset generalized tonic-clonic seizures. Her blood pressure is 160/110 mmHg and 24-hour urinary protein is 4.5 g. Which of the following is the drug of choice for the immediate termination of the acute convulsion?

   1. A.Phenytoin
   2. B.Magnesium sulfate
   3. C.Diazepam
   4. D.Lorazepam
   See the answer and solution
2. Question 2Q-BD4C5F

   A 32-year-old woman at 12 weeks of gestation presents with vaginal bleeding and passage of grape-like tissue. Ultrasound reveals a 'snowstorm' appearance with no fetal parts. Serum beta-hCG is >100,000 mIU/mL, and bilateral ovarian enlargement is noted. What is the most common cytogenetic profile of this complete hydatidiform mole?

   1. A.69,XXY (Triploid)
   2. B.46,XX (Androgenetic)
   3. C.46,XY (Biparental)
   4. D.45,X0
   See the answer and solution
3. Question 3Q-073743

   A 26-year-old G2P1 at 10 weeks of gestation presents with severe nausea and vomiting, inability to retain any food or fluids, and a 6 kg weight loss since her last visit. Laboratory investigations reveal hypokalemic metabolic alkalosis and moderate ketonuria. Which of the following vitamin deficiencies is most critical to prevent Wernicke encephalopathy when initiating intravenous dextrose therapy?

   1. A.Vitamin B1 (Thiamine)
   2. B.Vitamin B6 (Pyridoxine)
   3. C.Vitamin B12 (Cobalamin)
   4. D.Vitamin C (Ascorbic acid)
   See the answer and solution
4. Question 4Q-EB0254

   A 30-year-old primigravida at 28 weeks of gestation is found to have a blood pressure of 140/90 mmHg on two occasions 6 hours apart. Her baseline blood pressure in the first trimester was 110/70 mmHg. Urine dipstick for protein is negative. She has no headache, visual disturbances, or epigastric pain. What is the most appropriate diagnosis?

   1. A.Chronic hypertension
   2. B.Gestational hypertension
   3. C.Mild preeclampsia
   4. D.Superimposed preeclampsia
   See the answer and solution
5. Question 5Q-4F77C9

   A 25-year-old Rh-negative primigravida delivers an Rh-positive healthy newborn. Her indirect Coombs test is negative. What is the standard dose and recommended timing of anti-D immunoglobulin administration to prevent Rh alloimmunization?

   1. A.150 mcg within 72 hours of delivery
   2. B.300 mcg within 72 hours of delivery
   3. C.300 mcg at 28 weeks only, none postpartum
   4. D.150 mcg at 28 weeks and 300 mcg postpartum
   See the answer and solution