A 25-Year-Old Primigravida at the 32nd Week of Pregnancy Comes

question 198

Multiple Choice

A 25-year-old primigravida at the 32nd week of pregnancy comes to the physician with increasing headaches.  She describes the headaches as severe in intensity, unilateral, throbbing, and associated with light sensitivity and nausea.  They currently occur once or twice a week.  She has had similar headaches for the last several years that usually improve with ibuprofen and bed rest.  However, she does not want to take any unsafe drugs.  The patient has tried massage, relaxation, and techniques to improve her sleep without significant improvement.  She has no other medical problems.  Her current medications include an oral multivitamin.
Vital signs and examination are within normal limits.
Which of the following is the most appropriate course of action?

• A)Acetaminophen
• B)Ergotamine
• C)Naproxen
• D)Sumatriptan
• E)Topiramate

---

Definitions:

Ethical Guideline

A principle designed to guide individuals or organizations in making decisions that are moral, responsible, and in accordance with accepted standards of behavior.

American Psychological Association

A professional organization representing psychologists in the United States, dedicated to advancing psychology as a science, profession, and means of promoting health and human welfare.

Confidential Data

Information that is not for public disclosure, often protected due to privacy or security reasons.

Research Deception

The use of misleading or untrue information in scientific studies to ensure the authenticity of responses or behaviors.