27-year-old Primigravida in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#1201
SMLE Question #1201
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 27-year-old primigravida at 15 weeks’ gestation attends a routine antenatal visit. She has generalized tonic–clonic epilepsy since adolescence and has been taking phenytoin 300 mg daily. Her last seizure was 6 years ago. The pregnancy has been uncomplicated. She is worried about fetal malformations related to antiseizure medication exposure. What is the most appropriate next step in management?
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