Preeclampsia

Question 1

What causes decreased blood pressure in 1st trimester of pregnancy?

Answer 1

Increased Maternal Blood Volume Decreased Colloid Oncotic Pressure

Question 2

What are the common complications due to Severe chronic Hypertension?

Answer 2

Superimposed preeclmpsia Premature birth Intrauterine Growth restriction Fetal demise Placental abruption

Question 3

What are the lifestyle modifications that can effect Chronic Hypertension?

Answer 3

Smoking cessation Dietary Changes -Low salt diet Regular Exercise No Exercise -Fetal alcohol syndrome

Question 4

What is Preeclampsia?

Answer 4

New onset hypertension and proteinuria after 20 wks gestation in a previously normotensive woman BP > 140mm Hg or >90diast on 2 measurements

Question 5

What is the cause of Preeclampsia?

Answer 5

Endothelial injury alters vascular cell responses

Question 6

What constitutes Severe Preeclampsia?

Answer 6

SBP of 160mm Thrombocytopenia Impaired liver function Pulm edema Cerebral or visual disturbances

Question 7

How does preeclampsia present?

Answer 7

Asymptomatic Htn and proteinuria Elampsia(seizures) HELPP synd Severe preeclampsia sympts

Question 8

What other diseases can mimic preeclampsia?

Answer 8

Thrombocytopenia SLE Cerebral vascular accidents Migraines Hepatitis, Cholestasis, Acute fatty liver of preggo

Question 9

What are the maternal specific factors for Preeclpampsia?

Answer 9

35 Black FHx Nullpar Preec in previous preggo Stress Obesity, Thrombophilias, APLAbS

Question 10

What are the Pregnancy related Risk facotrs for preeclampsia?

Answer 10

Chom abn Hyatidiform mole Hydrops Multifetal Oocyte donor Congenital structural abn

Question 11

What is Eclampsia?

Answer 11

Persona with Preeclampsia that has seizures

Question 12

What is HELLP syndrome?

Answer 12

Hemolysis Elevated Liver ez Low Platelat count

Question 13

What constitutes low platelets?

Question 14

How is Preeclampsia prevented?

Answer 14

No good preventive measures Low dose aspirin

Question 15

How is Preeclampsia manged?

Answer 15

Delivery is cure Timing of delivery based on gest age and severity of preeclampsia

Question 16

What are the MATERNAL indications for delivery in Preec?

Answer 16

>37 wks worsening labs -Platelets -LFT -Dec Renal funct Placental abruption Persistant headache or visual changes N/V epigastric pain ECLAMPSIA

Question 17

What are the FETAL indications for delivery in Preec?

Answer 17

Severe intrauterine Growth Restriction Nonreassuring fetal surveillance Oligohydramnios

Question 18

What is post partum management in Preeclampsia?

Answer 18

MgSO4 Decreases seizure risk by 60% continue for 24hrs

Question 19

What are the Post partum complications?

Answer 19

Heart failure Pulm edema Encephalopathy Renal failure

Question 20

What is IUGF?

Answer 20

Estimated fetal growth

Question 21

What is asymetric IUGF?

Answer 21

Body is small, head big Placenta issues

Question 22

What is symmetric IUGF?

Answer 22

Universally smaller than normal Chromosomal Small parents

Question 23

What are the placental factors for IUGR?

Answer 23

Partial ABruption

Question 24

What are the risk factors for IUGR?

Answer 24

… List