Hypertensive Pregnancy Disorders

Question 1

Patients at risk of developing preeclampsia

Answer 1

• Hx of preeclampsia
• Antiphospholipid syndrome
• CKD
• DM
• Hypertension

Question 2

Antihypertensives:

Hydralazine, labetalol, methylfopa and nifedipine can..

Answer 2

all be used during pregnancy.

Question 3

As for HTN in pregnancy,

Initial antepartum evaluation,
Hospitalization & delivery,
Outpatient monitoring

are Management options

Answer 3

…for Gestational HTN

and Preeclampsia withOUT severe features.

Question 4

__ is indicated for Severe HTN in pregnancy (Systolic 160, diastolic 110 and up)

Answer 4

Antihypertensive drug therapy

Question 5

As for HTN in pregnancy, Hospitalization and delivery if:

37 wks and more,
suspected placental abruption,
34 wks and more plus..

Answer 5

• Labor or ROM
• weight <5th percentile
• Oligohydramnios
• abnormal test results

Question 6

Immediate delivery after stabilization

VS

Delivery 24- 48 hours after corticosteroids and stabilization
(are management options for)..

Answer 6

Preeclampsia with severe features

Question 7

HTN in pregnancy.

Delivery is indicated for GA 34 weeks and older Or Less than 34 weeks with maternal/fetal instability if..

Answer 7

Preeclampsia with Severe features

Question 8

HTN in pregnancy.

Expectant management, indicated at < 34 weeks gestation?

Answer 8

1. Maternal and fetal monitoring (ICU)
2. MgSO4 prophylaxis
3. Oral antihypertensives, Corticosteroids,
   Diuretics (for pulmonary edema)

Question 9

Preeclampsia prophylaxis is Low dose ASA PO from 12-14 weeks.

At risk patients..

Answer 9

• Previous preeclampsia
• Chronic HTN
• DM
• CKD