A pregnant woman has hypertension, right upper quadrant pain, malaise and nausea. Laboratory results show haemolysis, raised liver enzymes and a low platelet count. Which complication is most likely?
Correct answer: B. HELLP syndrome
- A. Acute fatty liver of pregnancy
- B. HELLP syndrome
- C. Gestational thrombocytopenia
- D. Intrahepatic cholestasis
Explanation
HELLP means haemolysis, elevated liver enzymes and low platelets, and it is associated with severe hypertensive disease. Acute fatty liver may also cause nausea and liver dysfunction, but the haemolysis and thrombocytopenia pattern points to HELLP.
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About Complications of Pregnancy
Pregnancy complications include hyperemesis gravidarum, anaemia, ectopic pregnancy, miscarriage, antepartum haemorrhage, hypertensive disorders, gestational diabetes, infections and disorders of fetal growth. Questions focus on characteristic signs, risk factors, investigations, maternal and fetal effects, and nursing care, while acute life-threatening treatment belongs under obstetric emergencies.
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50 free Complications of Pregnancy MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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