Gyneco(151-200)

A 20-year-old woman presents to your office with the complaint of abdominal pain. Through further questioning, the woman reveals that she was sexually assaulted at a party 3 weeks ago by a male friend whom she recently started dating. She states that she has not revealed this to anyone else and has not informed the police because she was drinking. Her abdominal and pelvic examinations are normal. Which of the following is the best management to offer this patient?

You are called to the emergency department to evaluate an 18-year- old woman for a vulvar laceration. She is accompanied by her mother and father. The father explains that the injury was caused by a fall onto the sup- port bar on her bicycle. You interview the woman alone and find out that her father has been sexually assaulting her. Which of the following statements best describes injuries related to sexual assault?

You are an intern working the night shift in the emergency department. During the evaluation of a sexual assault victim, your attending physician asks you to order the appropriate laboratory tests. Which of the following tests should be ordered?

You are evaluating a 19-year-old woman for a sexual assault. She denies any medical problems or allergies to medications. Her pregnancy test is negative. Which of the following antibiotic prophylaxes do you recommend for sexually transmitted infections?

After your evaluation and treatment of a rape victim has been com- pleted, you discharge the patient to home. When is the best time to schedule a follow-up appointment for the patient?

A 22-year-old woman comes to your office at 10 weeks of gestation for her initial prenatal visit. She has been referred to you by friends who are your patients. She would like you to be her physician, deliver her baby, and then care for her child. Her uterus feels 10 weeks by size on bimanual exam, and her blood pressure is 100/70 mmHg. All other aspects of the initial complete physical examination are normal. The patient asks you about birth plans during her initial visit and inquires as to your attitudes toward pregnant couples who wish to participate in decision making regarding the conduct of labor and delivery. How would you respond?

A 22-year-old woman comes to your office at 10 weeks of gestation for her initial prenatal visit. She has been referred to you by friends who are your patients. She would like you to be her physician, deliver her baby, and then care for her child. Her uterus feels 10 weeks by size on bimanual exam, and her blood pressure is 100/70 mmHg. All other aspects of the initial complete physical examination are normal. The couple inquires about the routine administration of intravenous (IV) fluids during labor. Concerning this issue, which of the following statements is false?

A 22-year-old woman comes to your office at 10 weeks of gestation for her initial prenatal visit. She has been referred to you by friends who are your patients. She would like you to be her physician, deliver her baby, and then care for her child. Her uterus feels 10 weeks by size on bimanual exam, and her blood pressure is 100/70 mmHg. All other aspects of the initial complete physical examination are normal. The patient tells you it is very important to her that she has a “natural” delivery and does not want any narcotics or medications that will “hurt the baby.” How do you respond?

A 22-year-old woman comes to your office at 10 weeks of gestation for her initial prenatal visit. She has been referred to you by friends who are your patients. She would like you to be her physician, deliver her baby, and then care for her child. Her uterus feels 10 weeks by size on bimanual exam, and her blood pressure is 100/70 mmHg. All other aspects of the initial complete physical examination are normal.The couple has some specific requests that they add to their birth plan at the 36-week visit, suggested by a friend. Which of the following would not be advisable?

A 22-year-old woman comes to your office at 10 weeks of gestation for her initial prenatal visit. She has been referred to you by friends who are your patients. She would like you to be her physician, deliver her baby, and then care for her child. Her uterus feels 10 weeks by size on bimanual exam, and her blood pressure is 100/70 mmHg. All other aspects of the initial complete physical examination are normal. The couple’s final question concerns “routine episiotomy.” They have been told that the medical profession is “cut happy” and that the vast majority of episiotomies are unnecessary. Which of the following statements regarding routine episiotomy is true?

A 22-year-old woman comes to your office at 10 weeks of gestation for her initial prenatal visit. She has been referred to you by friends who are your patients. She would like you to be her physician, deliver her baby, and then care for her child. Her uterus feels 10 weeks by size on bimanual exam, and her blood pressure is 100/70 mmHg. All other aspects of the initial complete physical examination are normal. Which of the following is (are) an indication for the performance of an episiotomy?

A 22-year-old woman comes to your office at 10 weeks of gestation for her initial prenatal visit. She has been referred to you by friends who are your patients. She would like you to be her physician, deliver her baby, and then care for her child. Her uterus feels 10 weeks by size on bimanual exam, and her blood pressure is 100/70 mmHg. All other aspects of the initial complete physical examination are normal.7. Which of the following statements regarding the presence or absence of a supportive person (or coach) in labor is true?

A 30-year-old woman, on her first office visit, expresses her wish to become pregnant. She has never been pregnant, denies any chronic health conditions, is not overweight, and exercises regularly. As you seek further information to assist you in providing care, the following issues arise. You discuss with your patient the risk factors for adverse pregnancy outcome. Which of the following would increase the risk during her pregnancy?

A 30-year-old woman, on her first office visit, expresses her wish to become pregnant. She has never been pregnant, denies any chronic health conditions, is not overweight, and exercises regularly. As you seek further information to assist you in providing care, the following issues arise. Which of the following presents a risk during the pregnancy?

A 30-year-old woman, on her first office visit, expresses her wish to become pregnant. She has never been pregnant, denies any chronic health conditions, is not overweight, and exercises regularly. As you seek further information to assist you in providing care, the following issues arise. During the physical examination, which of the following findings increase(s) the risk of the pregnancy?

A 30-year-old woman, on her first office visit, expresses her wish to become pregnant. She has never been pregnant, denies any chronic health conditions, is not overweight, and exercises regularly. As you seek further information to assist you in providing care, the following issues arise. The patient relates to you that her sister had a baby who suffered from spina bifida. She questions the efficacy of folic acid:

A 37-year-old female sees you for her first office visit. She is interested in having a yearly Pap and mammogram. A comprehensive preconception care counseling will include which of the following?

Primigravida at 8 Weeks of Gestation. A 24-year-old primigravida comes to your office at 8 weeks of gestation for her first prenatal visit. She has asked you to be her family doctor and to look after her during the entire pregnancy. You agree to provide her pregnancy care. During your first visit, you explain your general philosophy regarding prenatal care and perinatal care. Which of the following regarding routine prenatal care is true?

A 24-year-old primigravida comes to your office at 8 weeks of gestation for her first prenatal visit. She has asked you to be her family doctor and to look after her during the entire pregnancy. You agree to provide her pregnancy care. During your first visit, you explain your general philosophy regarding prenatal care and perinatal care. Your patient had the first day of her last menstrual period on September 9, 2006. According to Nägele’s rule, what is the patient’s estimated date of delivery (assume a 28-day cycle)?

A 24-year-old primigravida comes to your office at 8 weeks of gestation for her first prenatal visit. She has asked you to be her family doctor and to look after her during the entire pregnancy. You agree to provide her pregnancy care. During your first visit, you explain your general philosophy regarding prenatal care and perinatal care. Which of the following tests are not recommended at her initial prenatal visit?

After discussion of the visits and tests that will be done during the pregnancy, your patient indicates that she is concerned about “getting fat.” She has been a smoker since age 16 years in an attempt to remain thin and she assumes she will continue to smoke after she delivers. She is concerned about breast-feeding for the same reason since people have told her that she would “have to eat for the baby” if she breast-feeds. She is 1.55 m tall and weighs 59 kg. How much weight gain do you recommend?

After discussion of the visits and tests that will be done during the pregnancy, your patient indicates that she is concerned about “getting fat.” She has been a smoker since age 16 years in an attempt to remain thin and she assumes she will continue to smoke after she delivers. She is concerned about breast-feeding for the same reason since people have told her that she would “have to eat for the baby” if she breast-feeds.17. In counseling your patients on weight, which of the following is not a complication associated with excessive weight gain?

After discussion of the visits and tests that will be done during the pregnancy, your patient indicates that she is concerned about “getting fat.” She has been a smoker since age 16 years in an attempt to remain thin and she assumes she will continue to smoke after she delivers. She is concerned about breast-feeding for the same reason since people have told her that she would “have to eat for the baby” if she breast-feeds.18. Which of the following statements would not be regarded as reasonable nutritional advice for your patient?

After discussion of the visits and tests that will be done during the pregnancy, your patient indicates that she is concerned about “getting fat.” She has been a smoker since age 16 years in an attempt to remain thin and she assumes she will continue to smoke after she delivers. She is concerned about breast-feeding for the same reason since people have told her that she would “have to eat for the baby” if she breast-feeds.19. Which of the following statements regarding smoking in pregnancy is true?

A 35-year-old woman and her husband have been attempting to get pregnant without success. They had considered pursuing a fertility workup but were concerned about the expense. They had begun the process for adoption, but she has had a positive home pregnancy test, and based on her last menstrual period (LMP) she is 6 weeks pregnant. She is in good health and takes no medication except for a multivitamin. Which of the following statements is (are) true concerning current recommendations on routine prenatal visits?

A Pregnant Woman Concerned about Consuming Ibuprofen A newly pregnant woman who comes to the office is very concerned about the fact that she took ibuprofen for a headache during the past week. She is asking whether it is safe to take during pregnancy. Which of the following statements about taking ibuprofen during pregnancy is true?

An 18-year-old primigravida comes to your office for her initial prenatal visit. The pregnancy was unanticipated and she is quite disconcerted. She denies any medical problems or prior surgery. Her body mass index is 29. She has been taking prenatal vitamins for 1 month. Her mother hands you a list of symptoms that are bothering her daughter. The patient is quite nauseated and “throws up constantly.” She dramatically states that she has lost “at least 10 pounds in the past 6 weeks.” Neither “preggie pops” nor the “wrist bands she bought at the pharmacy” help. She desires other options for ending the nausea. Other complaints include blurred vision, bleeding gums, and a vaginal discharge. Her mother is concerned that she contracted a sexually transmitted disease from her boyfriend. The patient informs you that she had a well woman exam 2 months ago. The Pap exam was normal and cultures for gonorrhea and chlamydia were negative. On physical examination, the patient is well hydrated and has actually gained 6 pounds. The uterus is 10 weeks’ size. The cervix is closed, firm, and not effaced. There is a whitish copious discharge but no odor or cervical motion tenderness. The remainder of her physical exam, including a urinalysis, is normal. Which of the following hormones is thought to have the greatest influence on nausea and vomiting in pregnancy (NVP)?

An 18-year-old primigravida comes to your office for her initial prenatal visit. The pregnancy was unanticipated and she is quite disconcerted. She denies any medical problems or prior surgery. Her body mass index is 29. She has been taking prenatal vitamins for 1 month. Her mother hands you a list of symptoms that are bothering her daughter. The patient is quite nauseated and “throws up constantly.” She dramatically states that she has lost “at least 10 pounds in the past 6 weeks.” Neither “preggie pops” nor the “wrist bands she bought at the pharmacy” help. She desires other options for ending the nausea. Other complaints include blurred vision, bleeding gums, and a vaginal discharge. Her mother is concerned that she contracted a sexually transmitted disease from her boyfriend. The patient informs you that she had a well woman exam 2 months ago. The Pap exam was normal and cultures for gonorrhea and chlamydia were negative. On physical examination, the patient is well hydrated and has actually gained 6 pounds. The uterus is 10 weeks’ size. The cervix is closed, firm, and not effaced. There is a whitish copious discharge but no odor or cervical motion tenderness. The remainder of her physical exam, including a urinalysis, is normal. Which of the following would not be indicated as initial advice or treatment for women with NVP?

An 18-year-old primigravida comes to your office for her initial prenatal visit. The pregnancy was unanticipated and she is quite disconcerted. She denies any medical problems or prior surgery. Her body mass index is 29. She has been taking prenatal vitamins for 1 month. Her mother hands you a list of symptoms that are bothering her daughter. The patient is quite nauseated and “throws up constantly.” She dramatically states that she has lost “at least 10 pounds in the past 6 weeks.” Neither “preggie pops” nor the “wrist bands she bought at the pharmacy” help. She desires other options for ending the nausea. Other complaints include blurred vision, bleeding gums, and a vaginal discharge. Her mother is concerned that she contracted a sexually transmitted disease from her boyfriend. The patient informs you that she had a well woman exam 2 months ago. The Pap exam was normal and cultures for gonorrhea and chlamydia were negative. On physical examination, the patient is well hydrated and has actually gained 6 pounds. The uterus is 10 weeks’ size. The cervix is closed, firm, and not effaced. There is a whitish copious discharge but no odor or cervical motion tenderness. The remainder of her physical exam, including a urinalysis, is normal. Which of the following remedies is no more effective than placebo in reducing symptoms of NVP?

An 18-year-old primigravida comes to your office for her initial prenatal visit. The pregnancy was unanticipated and she is quite disconcerted. She denies any medical problems or prior surgery. Her body mass index is 29. She has been taking prenatal vitamins for 1 month. Her mother hands you a list of symptoms that are bothering her daughter. The patient is quite nauseated and “throws up constantly.” She ramatically states that she has lost “at least 10 pounds in the past 6 weeks.” Neither “preggie pops” nor the “wrist bands she bought at the pharmacy” help. She desires other options for ending the nausea. Other complaints include blurred vision, bleeding gums, and a vaginal discharge. Her mother is concerned that she contracted a sexually transmitted disease from her boyfriend. The patient informs you that she had a well woman exam 2 months ago. The Pap exam was normal and cultures for gonorrhea and chlamydia were negative. On physical examination, the patient is well hydrated and has actually gained 6 pounds. The uterus is 10 weeks’ size. The cervix is closed, firm, and not effaced. There is a whitish copious discharge but no odor or cervical motion tenderness. The remainder of her physical exam, including a urinalysis, is normal. How should the patient be counseled regarding her vaginal discharge?

A 36-year-old multigravida at 34 weeks of gestation. She works as a stockbroker at a large brokerage house. During the past 2 weeks, she has developed worsening edema in her bilateral lower extremities. It is worse at the end of the day and generally resolves somewhat by the next morning. Although XYZ has made some lifestyle changes (she no longer wears high heels to work), the symptoms are getting worse. At her routine visit, she is concerned about “severe abdominal pain.” She describes the pain as inguinal, stabbing, and intermittent. XYZ comments that she also has significant low back pain. The pain is dull, constant, and located over the lower lumbar spine. She has no loss of bladder or bowel function and no neurologic abnormalities on exam. The low back pain is not related to the inguinal pain. Which of the following statements about lower extremity edema during pregnancy is true?

A 34-year-old female (gravida 2, para 1) presents to the clinic with bleeding during pregnancy. She reports that it has been 6 weeks since her last menstrual period. She had a positive home pregnancy test 1 week ago and is scheduled for her first obstetrical appointment in 3 weeks. She is complaining of light vaginal bleeding without abdominal cramping or backache. She states that her symptoms began this morning. She has no orthostatic symptoms. There are no other systemic symptoms, including fever, abdominal pain, or vomiting. Her previous medical and obstetrical history is uncomplicated. Physical examination shows that she is tearful. Vital signs reveal temperature 97.8°F, pulse 76 beats/minute, blood pressure 126/78 mmHg, and respiratory rate 20 breaths/minute. Her vital signs do not significantly change with orthostatic testing. Her abdomen is soft and flat. She has active bowel sounds. Pelvic examination shows a small amount of bright red bleeding coming from the cervical os. The uterus is parous and consistent with her dating history. Adnexal structures are normal to bimanual exam. Her urine pregnancy test is positive. Vaginal bleeding in pregnancy before 20 weeks of gestation is defined as

A 34-year-old female (gravida 2, para 1) presents to the clinic with bleeding during pregnancy. She reports that it has been 6 weeks since her last menstrual period. She had a positive home pregnancy test 1 week ago and is scheduled for her first obstetrical appointment in 3 weeks. She is complaining of light vaginal bleeding without abdominal cramping or backache. She states that her symptoms began this morning. She has no orthostatic symptoms. There are no other systemic symptoms, including fever, abdominal pain, or vomiting. Her previous medical and obstetrical history is uncomplicated. Physical examination shows that she is tearful. Vital signs reveal temperature 97.8°F, pulse 76 beats/minute, blood pressure 126/78 mmHg, and respiratory rate 20 breaths/minute. Her vital signs do not significantly change with orthostatic testing. Her abdomen is soft and flat. She has active bowel sounds. Pelvic examination shows a small amount of bright red bleeding coming from the cervical os. The uterus is parous and consistent with her dating history. Adnexal structures are normal to bimanual exam. Her urine pregnancy test is positive.Which of the following conditions is the most common complication of a recognized pregnancy in Cambodia?

A 34-year-old female (gravida 2, para 1) presents to the clinic with bleeding during pregnancy. She reports that it has been 6 weeks since her last menstrual period. She had a positive home pregnancy test 1 week ago and is scheduled for her first obstetrical appointment in 3 weeks. She is complaining of light vaginal bleeding without abdominal cramping or backache. She states that her symptoms began this morning. She has no orthostatic symptoms. There are no other systemic symptoms, including fever, abdominal pain, or vomiting. Her previous medical and obstetrical history is uncomplicated. Physical examination shows that she is tearful. Vital signs reveal temperature 97.8°F, pulse 76 beats/minute, blood pressure 126/78 mmHg, and respiratory rate 20 breaths/minute. Her vital signs do not significantly change with orthostatic testing. Her abdomen is soft and flat. She has active bowel sounds. Pelvic examination shows a small amount of bright red bleeding coming from the cervical os. The uterus is parous and consistent with her dating history. Adnexal structures are normal to bimanual exam. Her urine pregnancy test is positive.In the management of this patient, you decide she is clinically stable. The local hospital is able to provide timely testing for you. Which of the following tests is least helpful at this time?

A 34-year-old female (gravida 2, para 1) presents to the clinic with bleeding during pregnancy. She reports that it has been 6 weeks since her last menstrual period. She had a positive home pregnancy test 1 week ago and is scheduled for her first obstetrical appointment in 3 weeks. She is complaining of light vaginal bleeding without abdominal cramping or backache. She states that her symptoms began this morning. She has no orthostatic symptoms. There are no other systemic symptoms, including fever, abdominal pain, or vomiting. Her previous medical and obstetrical history is uncomplicated. Physical examination shows that she is tearful. Vital signs reveal temperature 97.8°F, pulse 76 beats/minute, blood pressure 126/78 mmHg, and respiratory rate 20 breaths/minute. Her vital signs do not significantly change with orthostatic testing. Her abdomen is soft and flat. She has active bowel sounds. Pelvic examination shows a small amount of bright red bleeding coming from the cervical os. The uterus is parous and consistent with her dating history. Adnexal structures are normal to bimanual exam. Her urine pregnancy test is positive.During a follow-up visit at your clinic, this patient notes that bleeding has stopped. She has no pain or cramping. Her testing shows a quantitative -hCG level of 950 mIU/mL, and no gestational sac is noted on pelvic ultrasound. You decide to do the following:

A 28-year-old (gravida 1, para 0) patient comes to see you for a follow-up clinic visit. She experienced vaginal bleeding in early pregnancy. Initially, she presented with light vaginal bleeding at 10 weeks of gestation. Her initial ultrasound was reassuring, with normal fetal growth and definite heartbeat. A few days later, she began having heavy bleeding. Follow-up testing showed an incomplete abortion. You discussed surgical, medical, and expectant management. She chose expectant management and is here for follow-up. Many women choose expectant management for spontaneous abortion. Which of the following statements is true when comparing expectant management with surgical management of a spontaneous abortion?

A 28-year-old (gravida 1, para 0) patient comes to see you for a follow-up clinic visit. She experienced vaginal bleeding in early pregnancy. Initially, she presented with light vaginal bleeding at 10 weeks of gestation. Her initial ultrasound was reassuring, with normal fetal growth and definite heartbeat. A few days later, she began having heavy bleeding. Follow-up testing showed an incomplete abortion. You discussed surgical, medical, and expectant management. She chose expectant management and is here for follow-up. Medical regimens exist as treatment options for spontaneous abortion. Misoprostol is part of many of these regimens. Which of the following statements is (are) true regarding use of misoprostol in the medical management of spontaneous abortion?

A 28-year-old (gravida 1, para 0) patient comes to see you for a follow-up clinic visit. She experienced vaginal bleeding in early pregnancy. Initially, she presented with light vaginal bleeding at 10 weeks of gestation. Her initial ultrasound was reassuring, with normal fetal growth and definite heartbeat. A few days later, she began having heavy bleeding. Follow-up testing showed an incomplete abortion. You discussed surgical, medical, and expectant management. She chose expectant management and is here for follow-up. In an uncomplicated pregnancy, which of the following factors does not increase the risk for spontaneous abortion?

A 28-year-old (gravida 1, para 0) patient comes to see you for a follow-up clinic visit. She experienced vaginal bleeding in early pregnancy. Initially, she presented with light vaginal bleeding at 10 weeks of gestation. Her initial ultrasound was reassuring, with normal fetal growth and definite heartbeat. A few days later, she began having heavy bleeding. Follow-up testing showed an incomplete abortion. You discussed surgical, medical, and expectant management. She chose expectant management and is here for follow-up.The patient continues to be managed expectantly and experiences a completed spontaneous abortion without need for surgical instrumentation. She is now concerned that she will experience recurrent abortion. What is the definition of recurrent abortion?

A 28-year-old (gravida 1, para 0) patient comes to see you for a follow-up clinic visit. She experienced vaginal bleeding in early pregnancy. Initially, she presented with light vaginal bleeding at 10 weeks of gestation. Her initial ultrasound was reassuring, with normal fetal growth and definite heartbeat. A few days later, she began having heavy bleeding. Follow-up testing showed an incomplete abortion. You discussed surgical, medical, and expectant management. She chose expectant management and is here for follow-up.In the 6 months following miscarriage, women are at increased risk for which of the following disorders?

The patient is a 23-year-old woman whose family has a history of diabetes mellitus. She is currently 28 weeks of gestation. Your patient goes into labor at 40 weeks of gestation, gradually increasing to fully dilated. She then pushes for 3 hours until you elect to do a vacuum extraction because of maternal exhaustion. You notice immediate “turtling” of the infant’s head. The following are appropriate steps in using a vacuum extractor except:

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema. Her diagnosis is

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema.The patient wants to know if she has an increased risk in this pregnancy. Your explain that:

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema. The appropriate course of action to evaluate her elevated blood pressure includes.

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema.Your patient calls you at night complaining of a severe headache and thinks she is seeing “double.” She is now 30 weeks pregnant. You tell her to go to the emergency room. Your presumptive diagnosis is

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema.The patient’s blood pressure in the emergency room is 160/110 mmHg, and she has severe pedal edema and hyperflexia. You will

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema.Fetal indications for delivery of this patient’s baby include all the following except:

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema.Treatment of acute severe hypertension (sustained blood pressures higher than 160 systolic and 105 diastolic) in pregnancy include the following except:

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema.The patient complains of a severe headache during labor, her blood pressure climbs to 150/100 mmHg, and she now has 3+ protein on a urine sample collected by the nurse. The most appropriate treatment for your patient at this time would be

A Primigravida with Hypertension. A 35-year-old pregnant woman (gravida 2, para 1) comes into the office for her 18-week prenatal appointment. Her blood pressure is 140/94 mmHg when taken by your nurse and is confirmed by your own measurement. She has no protein in her urine and has no headaches, blurred vision, nausea, or vomiting. The rest of the examination is consistent with dates; there is no lower extremity edema.Which of the following statements regarding eclampsia is true?