OB-GYN Grand Rounds-15259-------2/1/2013, Niswonger Children's Hospital
George H. Davis, DO, FACOOG
Dr. Davis reports there is NOT a financial interest/arrangement of affiliation with one or more organizations which could be perceived as a real or apparent
COI in the context of this presentation.
This Continuing Medical Education activity has not received support from any commercial source.
'Medical Complications of Pregnancy'
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Understand the concept of pregnancy as the primary problem vs pregnancy as the complication          
Understand the basic principles of anemia and hypertensive disorders          
Know which disorders require an alteration in management for pregnancy          
Understand how physiologic changes of pregnancy may alter medical management          
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Based on what you heard today:
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A 37 wk G3P2 presents with generalized swelling, especially of the lower extremities, but with no facial edema. Her BP is 126/78 and she has a trace protienuria. Her cervix is favorable
for induction. Which of the following would be the best course of action?
A). Start the patient on an oral diuretic, such as HCTZ and adjust the dosage as needed to relieve her edema---B). Admit the patient for a pre-eclampsia workup and probable induction
C). Reassurance and expectant management on an outpatient basis---D). Given that 37 weeks is ter, with a favorable cervix and marked patient discomfort, admit for elective induction
E). Give the patient a prescription for cytotec 25mg, and have her take one tablet every 6 hours with instructions to proceed to L&D as soon as her contractions begin
ABCDE
Correct answer is: C          
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If you have questions, concerns, or comments about this activity, please contact: Barbara Sucher, M.B.A., Associate Dean for CME cmeadean@etsu.edu or 423.439.8081.
Form Revised 9-2012