Her First Prenatal Visit in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#1236
SMLE Question #1236
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old woman, G2P0, presents for her first prenatal visit at 12 weeks’ gestation. She has had generalized tonic-clonic seizures since adolescence and has been seizure-free for 6 years on phenytoin 300 mg orally once daily. She is taking folic acid and has no other medical problems. She asks whether her antiseizure medication should be changed now during pregnancy. What is the most appropriate next step in management?
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