A 27-Year-Old Nulligravid Woman Comes to the Office for a Routine

question 410

Multiple Choice

A 27-year-old nulligravid woman comes to the office for a routine visit.  Medical history is significant for epilepsy that is well controlled with valproate and chronic hypertension for which she takes nifedipine.  She hopes to conceive in the next few months and plans to start prenatal vitamins soon.  The patient takes no other medications and does not use tobacco, alcohol, or illicit drugs.  Blood pressure is 120/80 mm Hg.  Physical examination is normal.  If the patient conceives now, her fetus is at increased risk for which of the following anomalies?

• A)Epiphyseal stippling
• B)Hypothyroidism
• C)Micrognathia
• D)Myelomeningocele
• E)Nasal hypoplasia
• F)Renal dysgenesis
• G)Tricuspid valve malformation

Analyze the transformations in urban spaces and their effects on European societies.

Examine the role of education and literacy in the changing European society.

Identify the changes in leisure activities and their influences on European culture.

Comprehend the evolution of transportation and its societal implications.

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Definitions:

Exercise

Physical activities that are planned, structured, and repetitive for the purpose of conditioning any part of the body, improving health, and maintaining fitness.

Strength

The quality or state of being physically strong.

Flexibility

The quality of bending easily without breaking, often referring to the range of motion available in a muscle or joint.

Swing-Through Gait

A type of gait where an individual uses crutches to lift and move both legs simultaneously forward through the crutches for mobility.