Hypertensive disorders of pregnancy

Question 1

Chronic hypertension

Answer 1

BP exceeding 140/90 before pregnancy or before 20 weeks gestation on at least 2 occasions

Question 2

Gestational hypertension

Answer 2

new onset BP exceeding 140/90 in normotensive individuals after 20 weeks of gestation on at least 2 occasions

Question 3

Preeclampsia

Answer 3

new onset hypertension associated by proteinuria and or maternal organ dysfunction

Question 4

Proteinuria

Answer 4

> 300mg per 24-hour urine collection or protein creatinine ratio >0.3

Question 5

1st stage of preeclampsia

Answer 5

vasospasm –> elevated BP –> reduced blood flow

Question 6

2nd stage of preeclampsia

Answer 6

woman’s response to abnormal placentation when symptoms appear

Question 7

Effects of preeclampsia on mom and baby

Answer 7

severe symptoms in mom, fetal growth restriction

Question 8

Management of preeclampsia

Answer 8

bedrest, low-dose aspirin, increase water intake

Question 9

What is the only cure of preeclampsia

Answer 9

birth of the baby due to presence of trophoblastic tissue in the placenta

Question 10

Eclampsia

Answer 10

onset of seizure activity in woman with preeclampsia

Question 11

Management of eclampsia

Answer 11

ABC, lateral position to promote circulation, magnesium sulfate, fetal monitoring