General Repro

Question 1

what is eclampsia?

Answer 1

generalised tonic clonic seizures

Question 2

gestational hypertension

Answer 2

new onset BP over 140/90mmHg after 20 weeks gestation

Question 3

what is pre-eclampsia?

Answer 3

gestational hypertension plus proteinuria

Question 4

what are some of the factors that make up pre-eclampsia?

Answer 4

gestational hypertension

proteinuria

multi-organ dysfunction

uteroplacental dysfunction

Question 5

signs and symptoms of pre-eclampsia

Answer 5

headache

blurred vision

hypertension

proteinuria

reduced fetal movements

oedema

chest/epigastric pain

Question 6

what does nuchal thickening indicate?

Answer 6

down syndrome

Question 7

what are some of the risk factors of pre-eclampsia?

Answer 7

PR - partner replacement (pregnancy with new partner)
E - excess weight (obesity)
C - chronic disease (diabetes)
L - Little (under 20)
A - aged (over 35)
M - multiple pregnancy 
P - past history/ FH

Question 8

investigating pre-eclampsia

Answer 8

regularly check pregnant womens BP and urine

Question 9

how do you treat someone with pre-eclampsia while still pregnant?

Answer 9

Labetalol to reduce their blood pressure

Question 10

what is the only CURE for pre-eclampsia?

Answer 10

delivery of the baby

Question 11

when does pre-eclampsia develop?

Answer 11

after 20 weeks

Question 12

how do you test for pre-eclampsia?

Answer 12

Urine dip shows protein elevated

check their protein creatinine ratio

24 hour urine protein collection

abnormal LFTs

Blood pressure

Question 13

how do you PREVENT pre-eclampsia in a high risk pregnancy?

Answer 13

aspirin

Question 14

what other organs/ systems might pre-eclampsia effect?

Answer 14

renal

liver

vascular

cerebral

Question 15

DIC

Answer 15

disseminated intravascular coagulation

Question 16

how do you treat seizures in pre-eclampsia?

Answer 16

magnesium sulphate

Question 17

gestational diabetes increases the risks of what in the neonate?

Answer 17

hypoglycaemia

respiratory distress

miscarriage

pre-eclampsia

still birth

Question 18

what are the risk factors for gestational diabetes?

Answer 18

increased BMI

previous gestational diabetes

FH of diabetes

polyhydraminos

Question 19

what is virchows triad for thrombosis?

Answer 19

stasis

vessel wall injury

hypercoaguability

Question 20

venous thromboembolism is more common in pregnant women. what are the RFs?

Answer 20

older mothers/ increased parity

increased BMI

IV drug users

PET

dehydration (hypermeresis)

infections

decreased mobility