An 18-Year-Old Primigravida at 27 Weeks Gestation Comes to the Emergency

question 251

Multiple Choice

An 18-year-old primigravida at 27 weeks gestation comes to the emergency department due to severe right upper quadrant pain.  The pain started 2 hours ago, and the patient has also had nausea, vomiting, and irregular uterine contractions.  Temperature is 36.7 C (98.1 F) , blood pressure is 172/118 mm Hg, and pulse is 110/min.  BMI is 34 kg/m².  On abdominal examination, tenderness to palpation is present over the right upper quadrant.  Aspartate aminotransferase (SGOT) is 220 U/L and alanine aminotransferase (SGPT) is 240 U/L.  Abdominal imaging reveals a hepatic subcapsular hematoma.  This patient is most at risk for which of the following complications?

• A)Acute interstitial nephritis
• B)Bleeding esophageal varices
• C)Intraamniotic infection
• D)Pancreatitis
• E)Seizures
• F)Thrombocytosis

---

Definitions:

Basic Mathematics Test

An assessment designed to gauge an individual's understanding of fundamental mathematical concepts and skills.

Mean Driving Times

Refers to the average amount of time spent driving, calculated by summing all individual driving times and dividing by the total number of drives.

Population Distributions

Refers to the distribution of values, traits, or characteristics of an entire population.

Significance Level

The threshold chosen by a researcher which determines the probability of rejecting the null hypothesis when it is actually true, often denoted by alpha (α).