A 25-year-old G2P1 woman at 12 weeks gestational age presents to the office to discuss the results of her routine prenatal screening labs, which were ordered during her 1st prenatal visit. She reports taking a daily prenatal vitamin but no other medications. She complains of mild fatigue and appears pale on exam. Her complete blood count (CBC) shows the following: Hemoglobin (Hb) 9.5 g/dL Hematocrit 29% Mean corpuscular volume (MCV) 75 µm3 Which of the following are the most likely hematologic states of the patient and her fetus?
AIron deficiency anemia in both the mother and the fetus
BIron deficiency anemia in the mother; normal Hb levels in the fetus
CPernicious anemia in the mother; normal Hb levels in the fetus
DPhysiologic anemia in the mother; normal Hb levels in the fetus
EFolate deficiency anemia in both the mother and the fetus
A 27-year-old woman, gravida 2, para 1, at 26 weeks' gestation comes to the emergency department because of vaginal bleeding and epistaxis for the past 2 days. She missed her last prenatal visit 2 weeks ago. Physical examination shows blood in the posterior pharynx and a uterus consistent in size with 23 weeks' gestation. Her hemoglobin concentration is 7.2 g/dL. Ultrasonography shows an intrauterine pregnancy with a small retroplacental hematoma and absent fetal cardiac activity. Further evaluation is most likely to show which of the following findings?
ADecreased fibrinogen concentration
BIncreased antithrombin concentration
CIncreased factor V concentration
DIncreased platelet count
EDecreased prothrombin time
A 26-year-old woman, gravida 2, para 1, at 28 weeks' gestation comes to the physician for a prenatal visit. She feels well. Pregnancy and delivery of her first child were uncomplicated. Her temperature is 37.2°C (99°F) and blood pressure is 163/105 mm Hg. Her blood pressure 10 weeks ago was 128/84 mm Hg. At her last visit two weeks ago, her blood pressure was 142/92 mm Hg. Pelvic examination shows a uterus consistent in size with a 28-week gestation. A complete blood count and serum concentrations of electrolytes, creatinine, and hepatic transaminases are within the reference range. A urinalysis is within normal limits. Which of the following is the most appropriate next step in management?
AOral labetalol therapy
BLisinopril therapy
CMagnesium sulfate therapy
DComplete bed rest
EDietary salt restriction
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