Preeclampsia

Question 1

Early onset preeclampsia is dx prior to how many week?

Answer 1

34;

Late onset is dx after 34 weeks

Question 2

In normal placental development, maternal spinal arteries convert high-resistance and narrow muscular vessels to what?

Answer 2

Low-resistance, high-capacity vessels

Question 3

In women who develop preeclampsia, what happens to the maternal spiral arteries?

Answer 3

They remain small, narrow, with high-resistance; which leads to under-perfusion of the placental-fetal unit

Question 4

Which chronic and obstetrical conditions increase risk of abnormal placentation and preeclampsia?

Answer 4

1. Chronic hypertension
2. Diabetes
3. Lupus (SLE)
4. Chronic Kidney Disease (CKD)

Question 5

What are five results of capillaries leaking?

Answer 5

1. Proteinuria
2. Facial edema
3. Pulmonary edema
4. Ascites
5. Pleural effusion (build up of excess fluid on the pleura outside the lungs)

Question 6

What are four sx of Preeclampsia?

Answer 6

1. Epigastric pain
2. CNS
3. Bleeding
4. Nausea/vomiting

Question 7

What are the three ranges of BP?

Answer 7

1. Normal
2. Mild
3. Severe

Question 8

What are four results of Fibrinolysis and Hemolysis?

Answer 8

1. HELLP
2. Renal failure
3. DIC
4. Low platelets; High Liver enzymes

Question 9

Is the degree of end-organ involvement correlated with the degree of hypertension?

Answer 9

no

Question 10

What are the consequences of sustained/severe restriction of placental blood flow to the placental-fetal unit?

Answer 10

1. IUGR

2. Oligohydramnios

Question 11

Is proteinuria required to dx Preeclampsia?

Answer 11

No

Question 12

What Creatinine level indicates severe disease?

Answer 12

1.1mg/dl or doubles from baseline.