Multiple gestation managementDownloads

A 30-year-old woman, gravida 2, para 1, at 12 weeks' gestation comes to the physician for a prenatal visit. She feels well. Pregnancy and vaginal delivery of her first child were uncomplicated. Five years ago, she was diagnosed with hypertension but reports that she has been noncompliant with her hypertension regimen. The patient does not smoke or drink alcohol. She does not use illicit drugs. Medications include methyldopa, folic acid, and a multivitamin. Her temperature is 37°C (98.6°F), pulse is 80/min, and blood pressure is 145/90 mm Hg. Physical examination shows no abnormalities. Laboratory studies, including serum glucose level, and thyroid-stimulating hormone concentration, are within normal limits. The patient is at increased risk of developing which of the following complications?

A 2250-g (5.0-lb) male newborn and a 2900-g (6.4-lb) male newborn are delivered at 36 weeks' gestation to a 24-year-old, gravida 1, para 1 woman. The mother had no prenatal care. Examination of the smaller newborn shows low-set ears, retrognathia, and right-sided clubfoot. The hematocrit is 41% for the smaller newborn and 69% for the larger newborn. This pregnancy was most likely which of the following?