A 24-Year-Old Woman, Gravida 1 Para 0, at 35 Weeks

question 137

Multiple Choice

A 24-year-old woman, gravida 1 para 0, at 35 weeks gestation comes to the office for a routine prenatal visit.  The patient has dichorionic diamniotic twins and has had no complications during the pregnancy.  Fetal movement is normal for each twin.  Over the past week, the patient developed a pruritic rash on the abdomen.  The pruritus has become progressively more severe and is preventing her from sleeping.  She has no chronic medical conditions.  Vital signs are normal.  The fetal heart rate for both twins is 150/min.  Fundal height is 38 cm.  Physical examination is seen in the exhibit.  No other lesions are visualized.  Which of the following is the most appropriate treatment for this patient?

• A)Oral antibiotics
• B)Oral antiviral therapy
• C)Topical corticosteroids
• D)Topical retinoids
• E)Ursodeoxycholic acid

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Definitions:

Folkways

Informal norms that suggest customary ways of behaving.

Identifier Of Culture

Elements or symbols that are recognized as representing particular cultures, such as language, art, or rituals.

Values

Cultural assessments that identify something as right, desirable, and moral.

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The process through which a species, family, or larger group of organisms permanently disappears from Earth.