Hypertensive Pregnancy

Question 1

HTN definition

Answer 1

140/90
Most common complication of pregnancy
Classic triad HTN, proteinuria, edema

Question 2

Chronic hypertension

Answer 2

Before conception or before 20th week or diagnosed at 20 weeks and persists 12 weeks postpartum

Question 3

Gestational hypertension

Answer 3

HTN for the first time after 20 weeks, without proteinuria

Question 4

Preeclampsia superimposed on chronic hypertension

Answer 4

HTN with proteinuria before 20 weeks. Platelet count <100,00

Question 5

Preeclampsia and eclampsia syndrome

Answer 5

Gestational HTN with proteinuria after 20 weeks. Eclampsia -convulsions/seizures

Question 6

Hepatic system

Answer 6

Increased micro vascular fat deposition in liver. Liver damage
Subcapsular hematoma
rUQ epigastric pain
HELLP

Question 7

HELLP

Answer 7

Hemolysis
Elevated
Liver enzymes
Low 
platelets

Question 8

Renal system

Answer 8

Decreased perfusion
Decreased GFR
Proteinuria 
Fluid moves into intravascular space 
EDEMA

Question 9

Coagulation

Answer 9

Cascade activated
Thrombocytopenia
Plts <100,000

Question 10

CNS

Answer 10

EDEMA
Cerebral hemorrhage
Hyperreflexia
Severe headaches

Question 11

Ophthalmic

Answer 11

Retinal arterial spasm
Blurring
Double vision
Photophobia

Question 12

PULMONARY

Answer 12

EDEMA
Volume overload
Extremely high vascular resistance

Question 13

Multi system disorder

Answer 13

Pregnancy specific syndrome of reduced organ perfusion secondary to vasospasm and endothelial activation

Question 14

Maternal risks for pre-e

Answer 14

Pulmonary EDEMA 
CHF
Hepatic failure
Renal failure
Abrupto placenta
Cerebral edema
CVA
DIC