Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

DMST 285 OBGYN 2 > Maternal Diseases: Hypertension > Flashcards

Maternal Diseases: Hypertension Flashcards

1
Q

What does hypertension in pregnancy result in? 4

A
  1. Essential hypertension
  2. Pre- eclampsia
  3. Eclampsia
  4. HELLP syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When does Essential hypertension occur?

A

Before 20 weeks gestation or pre-existing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the primary cause of Essential Hypertension? 4

A
  1. Obesity
  2. Family
  3. Hx
  4. Diet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some secondary causes of essential hypertension? 3

A
  1. Renal disease
  2. Endocrine disorders
  3. Neurological disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is pre-eclampsia thought be caused by?

A

Prostaglandin abnormalities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Prostaglandins affect hypertension in pregnancy how? 4

A

One of a number of hormone like substances that participate in a wide range of body functions such as
1. Contraction and relaxation of smooth muscle
2. Dilation and constriction of vessels
3. Control of blood pressure
4. Modulation of inflammation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Pre-eclampsia is sometimes referred to as what?

A

PIH (Pregnancy induced hypertension)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does pre- eclampsia lead to? 4

A
  1. High blood pressure
  2. Proteinuria
  3. Edema
  4. Rapid weight gain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is High blood pressure in terms of pre-eclampsia? 2

A
  1. 140/90mmHg
  2. Or a systolic pressure that is 15 degrees higher than your normal BP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are some sonographic sings of pre-eclampsia? 7

A
  1. Oligiohydraminos
  2. Placental infarcts
  3. Placental abruption
  4. Decreased placental volumes
  5. Increased placental maturation
  6. Fetal demise
  7. Increased S/D ratio
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is symptoms that are associated with eclampsia? 8

A
  1. Headaches
  2. Blurred vision
  3. Bleeding
  4. Disseminated intravascular coagulation (DIC)
  5. Seizures
  6. Coma
  7. Fetal death
  8. Maternal death
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What hypertension test do we do for hypertension during the 1st trimester?

A

PAPP blood test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the PAPP blood test performed in conjunction with?

A

Nuchal Translucency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What does PAPP stand for?

A

Pregnancy associated plasma protein

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

If PAPPA is low it is considered what?

A

A marker for pre-eclampsia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If PAPPA is low a repeat ultrasound is performed when?

A

23-24 weeks gestation and uterine artery doppler is performed

17
Q

If PAPPA is low and we do we repeat ultrasound at 23-24 weeks, what do we look for on the doppler image? 2

A
  1. Dicrotic notch
  2. Low diastolic blood flow
18
Q

What does doppler look like in hypertension? 3

A
  1. High resistance in the umbilical artery
  2. Low resistance MCA
  3. Ductus Venosus
19
Q

What is ductus venosus?

A

Reversal during atrial contraction

20
Q

Why is there high resistance in the umbilical artery during hypertension? What is the preferred measurement?

A
  1. Low or reversed diastolic flow
  2. PI is preferred measurement
21
Q

What does HELLP syndrome stand for?

A
  1. Hemolysis
  2. Elevated Liver Enzymes
  3. Low Platelets
22
Q

What is a severe variant of Pre-eclampsia?

A

HELLP

23
Q

What do we see during HELLP? 3

A
  1. Maternal hypertension
  2. Edema
  3. Abdominal pain due to hepatic hemorrhage
24
Q

What is treatment for pre-eclampsia? 4

A
  1. Bed rest
  2. Medication for hypertension
  3. Increased monitoring of mother and fetus
  4. Delivery is the only way to reverse the process

DMST 285 OBGYN 2 (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions