Late pregnancy problems Witrak

Question 1

What is preeclampsia?

Answer 1

Multisystem disorder/syndrome of new onset HTN and proteinuria

Question 2

When does preeclampsia usually present?

Answer 2

34wks gestation

Question 3

What is the primary risk factor for preeclampsia?

Answer 3

First pregnancy

Question 4

25% of preeclampsia cases are considered severe. What does it take for preeclampsia to be considered severe?

Answer 4

Systolic > 160; OR
Diastolic > 110; OR
5g protein/24hr urine; OR
End organ injury

Question 5

What is the current theory to the pathology of preeclampsia?

Answer 5

Placental hypoperfusion with release of antiangiogenic factors

Question 6

What are the possible symptoms of severe preeclampsia?

Answer 6

Headache, CNS hemorrhage, seizures (eclampsia), ARF, pulmonary edema, DIC, hepatic failure/rupture

HELLP syndrome

Question 7

What is HELLP syndrome?

Answer 7

Hemolysis
Elevated Liver enzymes
Low Platelets

Question 8

What are some possible consequences to the placenta or fetus with preeclampsia?

Answer 8

Placental infarcts
Abruption
Fetal growth retardation
Oligohydramnios

Question 9

How is mild preeclampsia treated?

Answer 9

Frequent monitoring

Question 10

How is severe preeclampsia treated?

Answer 10

Delivery regardless of gestational age

Question 11

If preeclampsia is diagnosed between 23-34wks, what is given to the mother to decrease risk of fetus to pre-term delivery?

Answer 11

Glucocorticoids