OnlineMedEd: Obstetrics - "Eclampsia"

Question 1

Transient hypertension in pregnancy is defined as ____________.

Answer 1

BP greater than 140/80 for one measurement (i.e., it is not sustained)

Question 2

Chronic hypertension is defined as ____________.

Answer 2

BP greater than 140/80 prior to 20 weeks gestation

Question 3

How should you manage chronic hypertension in pregnancy?

Answer 3

• More frequent follow-up
• Urinalysis
• More frequent ultrasounds

Question 4

List the four antihypertensive drugs that can be given in pregnancy.

Answer 4

• Alpha methyldopa
• Nifedipine
• Hydralazine
• Labetalol

Question 5

Preeclampsia without severe features is also called __________.

Answer 5

mild preeclampsia

Question 6

Describe the signs and symptoms of preeclampsia without severe features.

Answer 6

• BP greater than 140/80 (either/or) for at least two readings six hours apart after 20 weeks
• Urinalysis showing greater than 300 mg/dL of protein
• No symptoms

Question 7

Describe the signs and symptoms of preeclampsia with severe features.

Answer 7

• BP greater than 160/110 (either/or) for at least two readings six hours apart
• Urinalysis showing greater than 5 g/dL protein
• Symptoms

Question 8

How is SPEC treated?

Answer 8

Magnesium and induction of vaginal labor regardless of time

Question 9

How is PEC treated?

Answer 9

• Before 37 weeks: wait until 37 weeks then induce labor

* After 37 weeks: induce labor

Question 10

Eclampsia should be treated with ___________.

Answer 10

cesarian section

Question 11

___________ is treated the same as eclampsia –magnesium and c-section.

Answer 11

HELLP syndrome

Question 12

List the severe features of preeclampsia.

Answer 12

• HA
• RUQ pain
• SOB
• Vision changes
• Any of the HELLP signs
• BP greater than 160/110
• Increased creatinine