A 29-year-old woman, gravida 1, para 0, at 36 weeks' gestation is brought to the emergency department after an episode of dizziness and vomiting followed by loss of consciousness lasting 1 minute. She reports that her symptoms started after lying down on her back to rest, as she felt tired during yoga class. Her pregnancy has been uncomplicated. On arrival, she is diaphoretic and pale. Her pulse is 115/min and blood pressure is 90/58 mm Hg. On examination, the patient is lying in the supine position with a fundal height of 36 cm. There is a prolonged fetal heart rate deceleration to 80/min. Which of the following is the most appropriate action to reverse this patient's symptoms in the future?
APerforming the Muller maneuver
BGentle compression with an abdominal binder
CLying in the supine position and elevating legs
DLying in the left lateral decubitus position
EPerforming the Valsava maneuver
A 35-year-old G3P2 woman currently 39 weeks pregnant presents to the emergency department with painful vaginal bleeding shortly after a motor vehicle accident in which she was a passenger. She had her seat belt on and reports that the airbag deployed immediately upon her car's impact against a tree. She admits that she actively smokes cigarettes. Her prenatal workup is unremarkable. Her previous pregnancies were remarkable for one episode of chorioamnionitis that resolved with antibiotics. Her temperature is 98.6°F (37°C), blood pressure is 90/60 mmHg, pulse is 130/min, and respirations are 20/min. The fetal pulse is 110/min. Her uterus is tender and firm. The remainder of her physical exam is unremarkable. What is the most likely diagnosis?
APlacental abruption
BEclampsia
CVasa previa
DPreterm labor
EPreeclampsia
A 45-year-old woman comes to the physician because of early satiety and intermittent nausea for 3 months. During this period she has also felt uncomfortably full after meals and has vomited occasionally. She has not had retrosternal or epigastric pain. She has longstanding type 1 diabetes mellitus, diabetic nephropathy, and generalized anxiety disorder. Current medications include insulin, ramipril, and escitalopram. Vital signs are within normal limits. Examination shows dry mucous membranes and mild epigastric tenderness. Her hemoglobin A1C concentration was 12.2% 3 weeks ago. Which of the following drugs is most appropriate to treat this patient's current condition?
AOndansetron
BClarithromycin
CCalcium carbonate
DMetoclopramide
EOmeprazole
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