Multifetal gestation Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 32-year-old primigravid woman at 7 weeks’ gestation presents to the emergency department with progressively worsening nausea and vomiting for one week. The patient reports vomiting 9 times in the past 24 hours and an inability to tolerate oral intake. There is no abdominal pain, vaginal bleeding, or abnormal discharge. Medical history is significant for diabetes mellitus and polycystic ovary syndrome (PCOS). The patient has irregular menstrual cycles and had trouble with conception. Temperature is 36.9°C (98.4°F), pulse is 98/min, respirations are 16/min, and blood pressure is 104/70 mmHg. On examination, the abdomen is non-tender to palpation, and the uterine fundus is palpable higher than expected for gestational age. The fetal heart rate (FHR) is detected in the 130s/min in the right lower quadrant and in the 170s/min in the left lower quadrant. Which of the following medications, if used at the time of conception, would increase the likelihood for the condition explaining the fetal heart rate findings?

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