HTN Disorders of Pregnancy

Question 1

Def = Dx of HTN prior or during the 1st 1/2 of pregnancy

Answer 1

Chronic HTN

Question 2

What is the BP lower limit for chronic HTN

Answer 2

160/110

Question 3

What drugs can be used to Tx chronic HTN

Answer 3

Methyldopa
Labetalol
Nifedipine

Question 4

At what gestational age can a baby be delivered when a mother has chronic HTN

Answer 4

38 wks

Question 5

What is the Tx for mild HTN

Answer 5

Prenatal visits q 2-4 wks

Weekly visits after 34 wks

Question 6

When should GDM resolve by

Answer 6

12 wks postpartum

Question 7

What criteria are needed for a Dx of preeclampsia

Answer 7

HTN

Proteinuria

Question 8

What are the Sx’s of preeclampsia

Answer 8

Blurred vision
Epigastric/RUQ pain
HA

Question 9

What are the PE findings when a pt has preeclampsia

Answer 9

Brisk reflexes
Clonus
Edema

Question 10

What is the Tx for mild preeclampsia

Answer 10

Bed rest if < 37 wks

Induction of cervix (no ripening) if > 37 wks

Question 11

What is the Tx for severe preeclampsia

Answer 11

Delivery at 34 wks

Give steroid if < 37 wks

Question 12

What is given as a prophylactic for seizures in a pt with preeclampsia

Answer 12

MgSO4

Question 13

What is the reversal drug for MgSO4

Answer 13

Ca Gluconate

Question 14

What are the criteria for eclampsia

Answer 14

HTN
Proteinuria
Seizures

Question 15

What is the 1st line Tx for eclampsia

Answer 15

MgSO4

Question 16

What lab findings would be abnormal in a pt with preeclampsia

Answer 16

Increased Hct, AST/ALT, uric acid

Thrombocytopenia