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A 26-year-old woman presents with abdominal cramping after a positive home pregnancy test. Her vitals are T 98.7°F, HR 94, BP 110/66, RR 18, oxygen saturation 97%. Her exam is unremarkable. Labs reveal a serum beta HCG of 1000 mIU and she is Rh positive. She states that the pregnancy is wanted. An ultrasound is performed as seen above. Which of the following is appropriate management for this patient?a) Administer methotrexate b) Discharge home with repeat beta hCG in 48 hours c) Administer Rhogam and methotrexate d) Administer Rhogam and discharge home with repeat beta hCG in 48 hours

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Answer:

Option (b).

Explanation:

hCG (human chorionic gonadotropin) is also known as pregnancy hormone that are produced by the placenta during pregnancy. The gravindex test of pregnancy determines the presence of hCG hormone.

A lady shows positive home pregnancy test and Her vitals are T 98.7°F, HR 94, BP 110/66, RR 18, oxygen saturation 97%. She suffers from the abdominal cramping, the doctor should discharge the lady to home and administer repeat beta hCG in 48 hours. This administration maintain pregnancy and prevent the lady from the cramp.

Thus, the correct answer is option (b).

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