Antenatal care, fetal wellbeing and medical disorders in pregnancy

A 31-year-old woman in her first pregnancy presents at 36 weeks with a frontal headache and "flashing lights" for six hours. Her blood pressure was 11…

Pre-internship · common

A 35-year-old woman at 35 weeks of pregnancy presents with vomiting, malaise and jaundice. She is normotensive, has no proteinuria and has mild right upper quad…

Clinical rotations · middle twist

A 35-year-old primigravida at 37 weeks’ gestation is found to have blood pressure readings of 148/96 and 146/94 mmHg 4 hours apart. Urine protein is 2+, platele…

Clinical rotations · middle twist

A 31-year-old woman at 34 weeks’ gestation presents with a severe frontal headache and flashing lights. Her blood pressure is 176/114 mmHg on two measurements 1…

Clinical rotations · middle twist

A 34-year-old woman at 13 weeks of gestation presents with vaginal bleeding and increasing abdominal distension. The uterus is approximately 18 weeks in size, h…

Clinical rotations · common

A 32-year-old woman at 34 weeks gestation reports two weeks of intense itching that is worse at night and began on her hands and feet. She has no rash, abdomina…

Clinical rotations · common

A 30-year-old woman at 30+2 weeks has hypertension controlled with oral therapy and an ultrasound-estimated fetal weight below the third centile. Umbilical arte…

Clinical rotations · middle twist

A 31-year-old woman with chronic hypertension was taking labetalol before conception. At 30 weeks, her blood pressure has risen from 132/82 to 154/98 mmHg. A ur…

Clinical rotations · common

A 29-year-old woman at 29 weeks has gestational diabetes managed with dietary advice and exercise. For the past 2 weeks, her fasting capillary glucose concentra…

Clinical rotations · middle twist

A 33-year-old woman at 33+5 weeks has a blood pressure of 168/112 mmHg on two occasions despite oral treatment. She has persistent right upper quadrant pain; pl…

Clinical rotations · middle twist

A 24-year-old woman at 10 weeks of pregnancy has vomited repeatedly for three weeks and has lost 7 kg. She is alert, with a pulse of 104 beats/minute and blood…

Clinical rotations · common

A 32-year-old woman at 10 weeks’ gestation presents with four days of almost no sleep, excessive spending and increasingly intrusive plans to start several busi…

Clinical rotations · middle twist

A 31-year-old primigravida at 33 weeks gestation reports one week of intense generalised itching that is worst at night and most severe over her palms and the s…

Clinical rotations · common

A 26-year-old primigravida presents at 11 weeks gestation by dates with two weeks of persistent vomiting and one day of light vaginal bleeding. Her blood pressu…

Clinical rotations · common

A 29-year-old woman, gravida 2 para 1, is in spontaneous labour at 39 weeks gestation. One hour after her cervix was 5 cm dilated, the membranes rupture spontan…

Clinical rotations · common

A 34-year-old woman attends her general practitioner eight weeks after the vaginal birth of her first child. Her pregnancy was complicated by gestational diabet…

Clinical rotations · common

A 26-year-old woman who is 9 weeks pregnant is planning a 3-week trip to rural areas of Papua New Guinea. She will stay in local villages and has no psychiatric…

Clinical rotations · middle twist

A 10-week pregnant woman is found to be non-immune to rubella during antenatal screening. She has no symptoms and has never had an immediate hypersensitivity re…

Clinical rotations · common

In a study of community-dwelling individuals, researchers observe varying prevalence rates of asymptomatic bacteriuria.In which of the following populations is…

Foundations · common

Which of the following congenital abnormalities is most commonly associated with lithium use during pregnancy?

Mechanisms of disease · common