Hypertensive Disorders in Pregnancy (Wootton) Flashcards
__1__ Hypertension presents before or recognized during first half of pregnancy.
__2__ Hypertension is recognized after 20 weeks gestation.
__3__ occurs after 20 weeks gestation and coexists with proteinuria.
__4__ is new onset seizure activity associated with preeclampsia.
__5__ occurs in women who have been diagnosed with chronic high blood pressure before pregnancy, but then develop worsening high blood pressure and protein in the urine.
1) Chronic
2) Gestational
3) Preeclampsia
4) Eclampsia
5) Chronic hypertension with superimposed preeclampsia
What is the most common type of chronic HTN?
Essential HTN (Idiopathic)
What labs/tests should you order during evaluation of chronic HTN during pregnancy in order to assess for maternal end-organ damage?
1) CBC
2) Glucose
3) CMP
4) 24 hour urine collection for total protein
5) EKG
6) Echo
24CCEEG
In the management of mild chronic HTN (BP less than 160/110 mmHg) you should begin __1__ therapy at 81 mg daily at 12 weeks till delivery.
Aspirin
In the management of severe chronic HTN (BP greater than 160/110 mmHg) you should begin antihypertensive therapy with?
1) Methyldopa
2) Labetalol
3) Nifedipine
MLN
In the management of severe chronic HTN, what antihypertensive medications are absolutely contraindicated as they can increase the risk of malformations (renal dysgenesis, calvarial hypoplasia and fetal growth restriction)?
1) ACE inhibitors (drugs end in -pril)
2) Angiotensin receptor blockers (drugs end in -sartan)
Gestational HTN occurs without any features of __1__.
It occurs after __2__ weeks gestation.
It also can occur within 48-72 hours after __3__.
It resolves by __4__ weeks postpartum.
1) Preeclampsia
2) 20 weeks
3) Delivery
4) 12 weeks
What common findings of preeclampsia are diagnostic?
1) HTN
2) Proteinuria
3) Edema
HEP
Symptoms of preeclampsia include?
1) Blurred vision
2) Epigastric and/or RUQ pain
3) Headache
BEH
Is multiparity or nulliparity a risk factor for preeclampsia?
What abnormal uterine growth is a risk factor?
1) Nulliparity
2) Hydatidiform mole
What does preeclampsia cause that results in headaches?
What manifestation to the lung does preeclampsia cause?
What does preeclampsia cause that results in the RUQ pain?
Preeclampsia causes swelling and enlargement of glomerular capillary endothelial cells which leads to?
1) Cerebral edema
2) Pulmonary edema
3) Hepatic hemorrhage
4) Proteinuria
Preeclampsia without severe Features (Mild)
1) What BP 4 hours apart?
2) Proteinuria level?
3) Urine Protein:Creatinine?
4) Urine dipstick?
1) 140/90 - 160/110
2) > 300 mg/24 hour
3) 0.3 mg/dL
4) 2+
Preeclampsia with Severe Features
1) BP? (2 occasions 4 hours apart)
2) Urine Production
3) Liver enzymes ?
1) >160/110
2) Oliguria (less than 500 ml in 24 hours)
3) 2x the normal level
What symptoms are noted with severe preeclampsia?
1) Visual disturbances
2) Pulmonary edema
3) Epigastric or RUQ Pain
4) Thrombocytopenia
V PET
A physical examination of preeclampsia can reveal?
1) Brisk reflexes
2) Clonus