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nbme1 A-27yo primigravid woman at 38 w - rocks
#1
A 27yo primigravid woman at 38 weeks' gestation is admitted in labor. Her pregnancy has been uncomplicated, and a routine prenatal visit 2 days ago showed no abnormalities. On admission, fetal heart tones cannot be heard. U/S shows little amniotic fluid, fetal edema, and no evidence of a fetal heartbeat. After 1 hour, she delivers a 7-lb stillborn infant w. no obvious abnormalities except for mild edema. The placenta and membranes appear normal. Which of the following is the most appropriate immediate course of action? A. Notify the hospital liability department
B. Obtain consent for fetal organ donation from the parents C. Recommend autopsy of the infant
D. Tell the mother not to worry since she can get pregnant again
E. Tell the parents that there is a 1 in 4 chance of recurrence in future pregnancies
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#2
ans C
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#3
ans C
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#4
ans is c;

but do u do autopsy in first abortion

if not then do u perform biopsy in 1st stillborn big baby

if you do it what you are going to find anyway

may be karyotyping

but from karyotyping what disease with 7 lb still birth u are going to find out?

may be hydrops fetalis

but does hydrops needs autopsy


by the way where all specialist like alibi she april are gone?

let us talk here not only give bare ans.
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