Which portion of the gastrointestinal tract is most difficult to visualize with endoscopy?
A 39-year-old woman at 28 weeks’ gestation has experienced multiple episodes of rectal bleeding, and a colonic mass is suspected on abdominal imaging. The decision is made to proceed with colonoscopy for diagnosis. You recommend which of the following alterations to the standard management of patients undergoing endoscopy?
a. Forego bowel preparation
b. Decrease in the dose of IV sedation
c. Intravenous hydration preoperatively
d. Continuous fetal monitoring during the procedure
A 22-year-old woman at 18 weeks’ gestation is admitted with hyperemesis gravidarum that is unresponsive to dietary modifications and antiemetics. She has lost 10 kilograms this pregnancy, and this is her third hospitalization in 6 weeks. You recommend enteral feeds with a nasogastric tube, but she declines requesting parenteral nutrition. You inform her that which of the following is the most common complication of total parenteral nutrition?
c. Brachial plexus injury
d. Catheter-associated sepsis
A 24-year-old woman experiences persistent hyperemesis gravidarum throughout her pregnancy with an inability to tolerate most foods despite antiemetic use. She was never able to tolerate prenatal vitamin supplementation. Shortly following an uneventful vaginal delivery her term infant develops seizures. On head ultrasound exam the infant has an intracranial hemorrhage. What nutritional deficiency is most likely responsible?
Which agent is considered first-line treatment for mild nausea and vomiting in pregnancy?
d. Doxylamine + pyridoxine