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Old 12-01-2011
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ObGyn Firm Uterus and history of Polyhydramnios

A 33-year-old woman comes to the clinic at 16 weeks’ gestation with no complaints. This is her second pregnancy. During the first pregnancy she delivered an 8.5 lb. infant. The patient reports hydramnios during that pregnancy. She has no prior medical history and is on no medications. On physical examination, she has a firm uterus. Which of the following is the appropriate management of this patient?

A. Genetic amniocentesis
B. Glucose testing
C. Maternal serum alpha-fetoprotein
D. Pelvic Ultrasound
E. Triple screen test
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Old 12-01-2011
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i guess Dddddd
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Old 12-01-2011
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Ultrasound is a better choice.
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Old 12-01-2011
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D. Pelvic Ultrasound
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Old 12-01-2011
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B. Glucose testing
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Old 12-02-2011
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glucose testing?
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Old 12-02-2011
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i go wid triple screen. its done in 16 weeks,
for downs synd . it has duodenal atresia. n glucose testing in 26-28 weeks oly will reliable for GDM. wats d correct ans??
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Old 12-02-2011
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The correct answer is E. At 33 years of age this patient should undergo a triple screen to evaluate the possibility of a Down syndrome fetus.
The patient is under 35 years of age and is thus not an automatic candidate for a genetic amniocentesis (choice A). Abnormal triple screen results should be followed up with a genetic amniocentesis.
Glucose testing (choice B) is indicated at about 24-28 weeks’ gestation.
The maternal serum alpha-fetoprotein (choice C) would be included in the triple screen test.
An ultrasound (choice D) could be used to evaluate fetal heartbeats and size but would not be the appropriate screen at this time.
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