Case:

Ms. D, a mother approaching her 35th week of pregnancyreports to an urgent care facility with her husband. She complainsof diffuse abdominal pain, weakness, and dizziness that startedapproximately 3 days earlier. Her blood pressure is 145/95mm

Hg. The laboratory technician does a quick urinalysisand detects 1 + protein in the patient's urine. A blood sample isdrawn, the physician calls the woman 's obstetrician, and the womanand her husband are sent to the hospital.

Questions:

27. What condition does Ms. D have?

Pre-eclampsia with severe features because Mrs.D

28. Why is this considered a serioussituation?

29. What are the possible complications of thiscondition?

Case:

A 24-year-old woman and her 26-year-old husband areunable to conceive. The couple has had unprotected intercourse forapproximately 18 months, with no resulting pregnancy. The husband'sinfertility workup is completely normal. Both individuals are avidrunners and participate in marathons at least four times each year.The wife's infertility workup came back with a repeat folliclestimulating hormone (FSH) level of more than 40 IU/L. She had anFSH determination about a month earlier that was also more than 40IU/L.

For questions 30-31 refer to the caseabove:

30. What condition accounts for the couple's inabilityto conceive?

31. Are follow-up hormonal tests necessary? Why or whynot?