Only hours after discovering the victims’ bodies, Emparan, the judge in charge, initiates investigations in the neighborhood around Dongo’s house and other sections of the central city. He also sends out an alert to New Spain’s local leaders, calling on judicial officials across the viceroyalty to participate in the search for the perpetrators. Their initial goal is to find witnesses who had observed any suspicious activities in the area. Secondly, the judge sought to determine the provenance of the still-unknown murderers’ weapons. Emparan’s interrogations allow him to create a timeline of events leading up to the Dongo massacre. These initial efforts do not provide the clues necessary to solve the case. However, as gossip spread throughout the city and the court works hard to find the perpetrators, Emparan’s rapid actions encourage Mexico City residents to carefully observe anything unusual that they witness in the days after the crime. As a result, Emparan ascertains and arrests the perpetrators within a few days. The entire process proves the effectiveness of the Novohispanic judiciary.

A 28-year-old nulligravida with Marfan syndrome is referred to your tertiary center’s high-risk obstetric unit for preconceptional counseling. She has no other medical issues.

During your overnight call duty, a 37-year-old G2P1 with a spontaneous pregnancy presents to the obstetrics emergency assessment unit of your tertiary center at 32+3 weeks’ gestation with pruritis preventing her from sleep. She has no obstetric complaints; cardiotocography initiated upon the patient’s presentation shows a normal fetal heart tracing and uterine quiescence.

A 38-year-old G7P7 is referred by her primary care provider to your high-risk obstetrics clinic for preconception consultation after having angiography and percutaneous coronary intervention (PCI) in your tertiary center for a non-ST elevation myocardial infarction (NSTEMI) 18 months ago. All her children, the youngest aged four years, were delivered vaginally at term prior to emigrating from Africa.

A 30-year-old nulligravida with epilepsy is referred by her primary care provider to your hospital center’s high-risk obstetrics unit for preconception counseling.

A 29-year-old primigravida with sickle cell anemia (SCA) is referred by her primary care provider to your tertiary center’s high-risk obstetrics unit for prenatal care of a sonographically confirmed single viable intrauterine pregnancy at 8+2 weeks’ gestation. She has no obstetric complaints.

During your obstetric call duty in a tertiary hospital center, you receive a telephone call from a colleague on call duty at a community hospital center where a 34-year-old G3P2 presented with uterine contractions at 27 weeks’ gestation.

During your call duty, a 38-year-old G5P4 with a spontaneous dichorionic pregnancy presents to the obstetric emergency assessment unit of your tertiary center at 37+5 weeks’ gestation with dyspnea and noticeable bilateral leg edema. She has no obstetric complaints. Your colleague follows her prenatal care. Routine prenatal laboratory investigations, aneuploidy screening, fetal morphology surveys, and serial sonograms have all been unremarkable. She had four uncomplicated pregnancies and term vaginal deliveries in your hospital center.

Your next patient is a new referral for consultation and transfer of care. The transfer note indicates she is a 28-year-old G1P0 with known myasthenia gravis (MG) who is at 12 weeks’ gestation by sonographic dating.

A 25-year-old primigravida at 21+5 weeks’ gestation is sent by her primary care provider for urgent consultation and transfer of care to your tertiary center’s high-risk obstetrics unit for increasing diaphoresis, body aches, and anxiousness since self-discontinuation of heroin upon recent knowledge of pregnancy.

A 35-year-old G2P1 with chronic hypertension is referred by her primary care provider to your tertiary-care center for prenatal care of a singleton intrauterine pregnancy at 8+2 weeks’ gestation by dating sonography. The patient has no obstetric complaints to date. Her last pregnancy was 10 years ago.

A 37-year-old G1P1 with a three-year history of type 2 diabetes mellitus (T2DM) is referred by her primary care provider to your high-risk obstetrics clinic for preconception counseling. Six years ago, she delivered her son at another hospital center.

During an obstetrics call duty in your tertiary center, you are called urgently to assist in a Cesarean section of a 42-year-old with sudden intraoperative maternal collapse. Your surgical colleague followed her prenatal care.

A 28-year-old primigravida at 27 weeks’ gestation is referred by her primary care provider to your tertiary center’s high-risk obstetrics unit with a four-week history of worsening exertional dyspnea, marked fatigue with limited daily activities, and a recent syncopal episode, witnessed by her husband. She describes palpitations immediately prior to this brief event. She is asymptomatic at rest and has not experienced chest pain. Her medical history appears non-contributory, and although she practices healthy social habits, she has long-standing exercise intolerance in the non pregnant state with breathlessness after running a few meters.

During your call duty, a 29-year-old primigravida at 19+2 weeks’ gestation by early ultrasound dating presents to the obstetrics emergency assessment unit of your hospital center with a one-week history of dyspnea. She has not refilled her asthma treatments, as she was busy changing residences. The patient converses well, without signs of distress.

During your call duty, a 25-year-old primigravida with a 12-year history of type I diabetes mellitus (T1DM) at 26+1 weeks’ gestation by early sonographic dating of an unplanned pregnancy is accompanied by her husband to the obstetric emergency assessment unit at 4:00 AM for a three-hour history of nausea followed by recurrent nonbilious vomiting. Despite the lack of oral intake since her standard bedtime snack, her husband indicates the patient passed urine at least five times over the last hour, as he assisted her due to drowsiness and visual blurring.

A 29-year-old primigravida is referred by her primary care provider to your tertiary center’s high-risk obstetrics unit for preconception counseling for known Graves’ disease.

A 25-year-old G2P1 presents for prenatal care at 8+2 weeks’ gestation by menstrual dates with complaints of nausea and vomiting for the past two weeks. Your clinical nurse reassures you the patient is not in acute distress and converses well. There is no history of vaginal bleeding.

A 30-year-old primigravida with schizophrenia is referred by her primary care provider to your high-risk obstetrics unit at a tertiary center. Her mental illness is controlled by clozapine, and she takes routine prenatal vitamins. The patient is at 12+2 weeks’ gestation by dating sonography; first-trimester fetal anatomy was normal with a low risk of aneuploidy. Results of routine prenatal investigations are unremarkable. The patient does not have any obstetric complaints.

During your call duty, a healthy 40-year-old primigravida with a spontaneous dichorionic pregnancy presents, accompanied by her husband, to the obstetric emergency assessment unit of your hospital center at 33+1 weeks’ gestation with new-onset abdominal pain and vomiting after a two-day history of nausea and general malaise. She has no obstetric complaints, and fetal viabilities are ascertained upon presentation. Her face appears yellow tinged relative to her last clinical visit one week ago. You recall that routine prenatal laboratory investigations, aneuploidy screening, morphology surveys of the male fetuses, and serial sonograms have all been unremarkable.