A patient is scheduled to receive Pergonal (Menotropins) injections as part of an infertility treatment before in vitro fertilization.
What is the anticipated effect of this medication?

Choice A rationale
Hypothermia, decreased muscle tone, and a weak sucking reflex are not typically exhibited by newborns whose mothers are substance abusers. These symptoms could be indicative of other medical conditions.
Choice B rationale
Excessive sleep, a weak cry, and a diminished grasp reflex are not the most common behaviors exhibited by newborns of substance-abusing mothers.
Choice C rationale
Circumoral cyanosis, a hyperactive Babinski reflex, and constipation are not typically seen in newborns of substance-abusing mothers. These symptoms could be indicative of other medical conditions.
Choice D rationale
Newborns of substance-abusing mothers often exhibit decreased amounts of sleep, a hyperactive Moro reflex, and difficulty feeding. These symptoms are related to withdrawal from the substances the mother was using during pregnancy.

Choice A rationale
A negative pregnancy test is important to rule out pregnancy as a cause of abnormal uterine bleeding (AUB), but it is not the priority finding. Pregnancy is one of the common causes of AUB in reproductive-age women, but the user’s question is about prioritizing findings, and other choices are more critical to assess the patient’s condition.
Choice B rationale
Hemoglobin and hematocrit levels are crucial in assessing the severity of AUB. Chronic heavy or prolonged uterine bleeding may cause iron deficiency anemia. Therefore, these tests are prioritized to determine the patient’s blood volume and to plan appropriate interventions.
Choice C rationale
While an elevated white blood cell count could indicate an infection, which can also cause AUB, it is not the priority in this case. Infections are less common causes of AUB, and the symptoms would likely include pain, fever, or abnormal discharge.
Choice D rationale
Serum cholesterol levels are not directly related to AUB. While it’s important to monitor cholesterol levels for overall health and cardiovascular risk management, it’s not a priority in the assessment of AUB12.