4.2 Flashcards

1
Q

What criteria categorize chronic HTN?

A

Dx: BP>140/90, prior to preg or prior to 20wk EGA, OR persists beyond 12 wk postpartum
Tx goal:

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2
Q

What criteria categorize chronic HTN w/ superimposed preeclampsia?

A

EGA >20wks, proteinuria >300mg/d when it wasnt there at EGA 160/110

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3
Q

Gestational hypertension

A

EGA>20wk where BP >140/90 but was normal before 20wk. No proteinuria. Tx goal

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4
Q

Preeclampsia

A

BP>140/90 on two readings, Proteinuria >300 mg / 24 hours on spot estimation. Gestational age > 20 weeks

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5
Q

Preeclampsia w/ Severe Feature

A

SBP >160 or DBP >110. New onset renal insufficiency Cr >1.1
2X Pulmonary edema.
Thrombocytopenia ( 2x normal) liver distention (RUQ pain / N/V )
New onset visual or neurologic disturbances

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6
Q

What is HELLP syndrome indicative of?

A

Complication of preexclampsia

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7
Q

Management for preterm preexclampsia

A

Betamethasone for lung
monitor for severe features
Deliver at 34wks if severe (32 is lowest). If not severe only preeclamp then wait to 37.Can try to prevent preeclamp w/ Mg but its more of eclampsia (seizure tx)

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8
Q

who is screened for gestational DM and how?

A

Everyone. 50GTT (1hr) at 24-28wk EGA after the 1st trimester test. If pos, confirm w/ 100GTT(3hr) fasting for 8-10hr, draw at fasting,1, 2,3hr post prandial

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9
Q

What are the criteria for the 100GTT (3h) test in GDM?

A

Fasting

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10
Q

What are are GDM class A1 and A2?

A

A1: controlled w/ diet and exercise NST/AFI>38wk
A2: controlled w/ meds (insulin or oral NST/AFI >32wk

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11
Q

What do GDM babies look like?

A

Little football players!

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