A 2-day-old boy, born at 38-weeks gestation, presents with jaundice and microcephaly. Social history reveals his mother is an animal caretaker. The vital signs include: temperature 37.0°C (98.6°F), blood pressure 75/40 mm Hg, pulse 150/min, respiratory rate 40/min, and oxygen saturation 99% on room air. Physical examination reveals hepatosplenomegaly. A CT and MRI of the head are significant for the following findings (see picture). Which of the following diseases contracted during pregnancy is the most likely cause of this patient's condition?
AToxoplasmosis
BSyphilis
CVaricella
DCMV
ERubella
A 32-year-old G1P0 woman presents to her obstetrician for a prenatal visit. She is 30 weeks pregnant. She reports some fatigue and complains of urinary urgency. Prior to this pregnancy, she had no significant medical history. She takes a prenatal vitamin and folate supplements daily. Her mother has diabetes, and her brother has coronary artery disease. On physical examination, the fundal height is 25 centimeters. A fetal ultrasound shows a proportional reduction in head circumference, trunk size, and limb length. Which of the following is the most likely cause of the patient’s presentation?
AGestational diabetes
BAntiphospholipid syndrome
CRubella infection
DPre-eclampsia
ECigarette smoking
A 24-year-old woman, gravida 1, para 0, at 39 weeks' gestation, is admitted to the hospital in active labor. She currently has contractions occurring every 3–5 minutes. For the past 3 days, she has had burning pain in the vulvar area associated with intense itching. Her pregnancy has been uneventful. She has a history of genital herpes at the age of 16, which was treated with acyclovir. Her vital signs are within normal limits. Genital examination shows grouped vesicles on an erythematous base over the vulvar region. Pelvic examination shows rupture of membranes and that the cervix is 3 cm dilated. Which of the following is the most appropriate next step in management?
ATocolytic therapy until lesions are crusted
BOral acyclovir therapy and vaginal delivery
CTopical acyclovir and vaginal delivery
DOral acyclovir therapy and cesarean delivery
ETopical acyclovir and cesarean delivery
+ 7 more in the PDF
Browse all chapters