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A 23-Year-Old Woman, Gravida 2 Para 1, with Poorly Controlled

Question 13

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A 23-year-old woman, gravida 2 para 1, with poorly controlled type 1 diabetes and hypothyroidism comes to the hospital with preterm, premature rupture of membrane at 30 weeks' gestation.  Her medications include prenatal vitamins and insulin.  Vital signs are normal and examination shows clear vaginal discharge.  The patient's cervix is closed and she has no uterine contractions.  Laboratory results are as follows: A 23-year-old woman, gravida 2 para 1, with poorly controlled type 1 diabetes and hypothyroidism comes to the hospital with preterm, premature rupture of membrane at 30 weeks' gestation.  Her medications include prenatal vitamins and insulin.  Vital signs are normal and examination shows clear vaginal discharge.  The patient's cervix is closed and she has no uterine contractions.  Laboratory results are as follows:   Which of the following medications has the greatest positive impact on fetal survival? A) Dexamethasone B) Insulin C) Magnesium D) Nifedipine E) Terbutaline Which of the following medications has the greatest positive impact on fetal survival?


A) Dexamethasone
B) Insulin
C) Magnesium
D) Nifedipine
E) Terbutaline

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