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A 35-Year-Old Multiparous Woman Was Admitted to the Hospital at 36

Question 1

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A 35-year-old multiparous woman was admitted to the hospital at 36 weeks' gestation for nausea,vomiting,and severe epigastric pain.On admission,her vital signs were as follows: pulse,90 beats/min; blood pressure,165/100 mm Hg; respiratory rate,18 breaths/min; and temperature,99.4° F.The patient reported blurred and double vision and a severe headache.The fetal heart rate was normal.She was placed on bed rest.Urine analysis revealed proteinuria.Her vital signs 6 hours later were as follows: pulse,88 beats/min; blood pressure,185/105 mm Hg; respirations,16 breaths/min; and temperature,98.4° F.The fetal heart rate was normal.Severe pre-eclampsia was diagnosed.In addition to her clinical signs and symptoms,the patient's laboratory studies demonstrate hemolysis of red blood cells,elevated liver enzymes,and a low platelet count.What would be anticipated as an additional diagnosis?


A) DIC
B) Dead fetus syndrome
C) Amniotic fluid embolism
D) HELLP syndrome

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