Magnesium sulfate helps prevent seizures in women with preeclampsia. According to the 2013 ACOG Hypertension in Pregnancy Task Force Guidelines, which of the following women should receive magnesium sulfate prophylaxis? a. 42 year-old primagravida at 37 0/7 weeks' estimated gestational age, with a blood pressure of 148/96, and four hours later a blood pressure of 152/97, who is in the latent phase of labor
b. 21 year-old gravida 2 para 1 female at 41 6/7 weeks' estimated gestational age, with a blood pressure of 156/98, and four hours later a blood pressure of 152/92, complaining of a headache Correct
c. 33 year-old gravida 3 para 2 female at 39 2/7 weeks' estimated gestational age, in spontaneous labor (active phase), and a platelet count of 110,000/uL
d. 29 year-old gravida 4, para 2, abortus 1 female, with a blood pressure of 158/94, and four hours later a blood pressure of 156/93, with a serum creatinine of 1.0 (baseline serum creatinine was 0

The parents of a 9-year-old girl bring their daughter to the ed. for the last 12 hours, the child has suffered severe nausea and vomiting, as well as diarrhoea and abdominal cramps. further discussion with the child indicates that she suffers from blurred vision and headache. the parents originally were worried about bringing the child to the ed because they feared deportation since the family are illegal immigrants employed to pick strawberries on a nearby farm. on direct questionning, the parents admit that the child was assisting with spraying crops with pesticides the previous day. none of the family members was wearing any protecting clothing. her bp is 88/48 mmhg, pulse is 90/min, rr 33/min, temp 38 c. the child appears sweaty and confused. auscultation of the lungs reveals a diffuse wheeze bilaterally. pupils are miotic and the child has diffuse muscle weakness. which of the following interventions is the most appropriate treatment? - atropine- charcoal- glucagon- naloxone- exposure: consider organophosphate poisoning, which inhibits cholinesterase and results in accumulation of ach in both muscarinic and nicotinic sites. pralidoxime activates achatropine competes with ach only at muscarinic receptors, but will not reverse nicotinic effectscharcoal = gastric decontaminationglucagon = reverse beta-blocker overdosenaloxone = reverse effects of opioids