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NBME 21 Answers

nbme21/Block 3/Question#42

A 27-year-old primigravid woman at 39 weeks' ...

Shoulder dystocia

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 +2  upvote downvote
submitted by jotajota94(10),

High glucose leads to more insulin production in the fetus (recall that the hormone insulin is anabolic) ---> large fetus (9lb,1oz)---> problems in labor.

tinydoc  I thought that was technically a problem with the fetus and wasnt considered an obstetric complication. +  

 +0  upvote downvote
submitted by temmy(26),

babies of diabetic moms end up being bigger and that may lead to shoulder dystocia

sahusema  If one of the answer choices was, "that baby gon be big lol" I would have gotten it right +4  

 -6  upvote downvote
submitted by hungrybox(240),

preeclampsia presents differently:

  • symptoms: headache, blurred vision, abdominal pain, weight gain (water retention)
  • findings: hypertension, proteinuria, edema