A 31-year-old woman, gravida 1 para 0, comes to the office for a routine prenatal visit at 28 weeks gestation. Her initial prenatal visit
was 2 weeks ago. The patient reports fatigue but is otherwise feeling well. She has no contractions, vaginal bleeding, or leakage of
fluid. Fetal movement is normal. The patient had a vaginal yeast infection 6 weeks ago that she treated with an over-the-counter
suppository. Her only other medication is a prenatal vitamin. The patient does not use tobacco, alcohol, or illicit drugs. Temperature
is 37.2 C (99 F) and blood pressure is 100/70 mm Hg. BMI is 28 kg/m2• Fetal heart rate is 155/min by Doppler ultrasound. Fundal
height is appropriate for gestational age A 1-hour, 50-g oral glucose challenge test shows a blood glucose of 120 mg/dl. A urine
culture grew >100,000 colony-forming units/ml of Escherichia coli. If left untreated, this patient is at risk for which of the following
complications?
QA Abruptio placentae
0 B. Acute pyelonephritis
0 C. Cervical insufficiency
0 D. Chorioamnionitis
0 E. First-stage labor protraction
0 F. Oligohydramnios
0 G. Preeclampsia
Nhận xét
Đăng nhận xét