MS Is 34 Weeks Gestation and Has Had Heartburn During

question 7

Multiple Choice

M.S. is 34 weeks gestation and has had heartburn during her pregnancy that thus far has been relieved by lifestyle modification and calcium carbonate. Today she drops in to your office stating that her symptoms have worsened in the last 24 hours. She looks very sick and states that she now has midepigastric pain with nausea, vomiting, and malaise. She says the pain is constant and not food related. Which of the following would be the best management at today's visit?

• A) Begin omeprazole and call in 24 hours if symptoms don't resolve
• B) Consult with physician to rule out HELLP syndrome
• C) Order ultrasound to rule out gallbladder disease
• D) Prescribe ranitidine and begin IV hydration with 1-2 liters

---

Definitions:

Cognitive Appraisal Model

Lazarus’s theory of how thinking plays a strong role in stress.

Lazarus

Refers to Richard Lazarus, a psychologist known for his theory on stress and emotion, particularly how individual appraisal of a situation affects their emotional reaction.

Inventory of Life Changes

A tool used to assess the amount of stress caused by changes in a person's life over a certain period of time.

Illusory Correlation

The perception of a relationship between two variables when no such relationship exists.