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A healthy 27-year-old G1P0 at 10+3 weeks’ gestation, confirmed by sonography two days ago, presents for prenatal care. She arrived last month from overseas and currently lives with her sister and nephew, who has been home from daycare with German measles.
You are on obstetrics call duty at a community hospital center, where a 30-year-old G2P1 elementary schoolteacher presents concerned, after receiving notification during this spring week holiday, that there is an outbreak of ‘slapped cheek syndrome’ among the children. The patient is at 16+3 weeks’ gestation by dating sonography performed by her primary care provider; first-trimester fetal morphology was normal with a low risk of aneuploidy. Three years ago, she had a healthy pregnancy and term vaginal delivery of her son, who currently attends daycare. The patient does not have any obstetric complaints.
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