Preeclampsia & Hypertension

Question 1

What are the characteristics of Preeclampsia

Answer 1

• Begins after 20 weeks pregnant
• High BP above 140/90
• Protein in the urine
• High Protein creatine

Question 2

If a wahine has symptoms what is your care plan as an LMC?

Answer 2

• Repeat BP three times
• Consult with obstetric team
• Follow recommendations

Question 3

What is the referral category of preeclampsia?

Answer 3

Transfer of care

Question 4

What are some of the symptoms of Preeclampsia?

Answer 4

• Odem (swelling)
• above Bp 140/90
• Protein in urine
• Headache persistent
• Upper abdominal pain
• Palpitation
• Blurred vision

Question 5

As a core midwife you have a wahine coming in for a preeclampsia assessment what are your initial actions?

Answer 5

• Obs esp. BP
• CTG or auscultation depending on gestation
• Urinalysis save for MSU
• Bloods
  - CBC, Ferritin, proteinuria, creatinine, LFC
• Consult with obstetric team

Question 6

What are some potential complication for the pepi when mama have preeclampsia or hypertension?

Answer 6

• SGA
• IUGR
• Abnormal dopplers

Question 7

Calcium and Aspirin would be recommended if what previous medical history is disclosed?

Answer 7

• previous preeclampsia

- hypertension

Question 8

What Bloods would you be taking to diagnosis this?

Answer 8

• FBC
• LFT
• AST
• ALT
• Creatine
• Electrolytes
• Urine PCR Protein creatine

Question 9

What are the medications used for Preeclampsia?

Answer 9

• Nifedipine
• Labetalol
• Hydralazine

Question 10

In sever pre/eclampsia what infusion will be given?

Answer 10

• Magnesium Sulphate

Question 11

What are symptoms of Toxicity occurring?

Answer 11

• Hypoventilation
• Arrhythmia
• Hypotonia

Question 12

What is the antidote to Mag. Sulphate?

Answer 12

• Calcium Gluconate

Question 13

Why are fluids restricted in PET wahine?

Answer 13

This is due to the odeam already occurring within the tinana

Question 14

Risk Factors to PET?

Answer 14

Autoimmune diseases such as antiphospholipid antibodies and SLE
• Previous history of pre-eclampsia
• ART (oocyte donation)
• Renal disease
• Chronic hypertension
• Previous history of HELLP
• Pre-existing diabetes
• Family history of pre-eclampsia
• Genetic ancestry (African, Indian, Maori, Pacific)
• Nulliparity
• Multiple gestation
• Change in partner
• Elevated BMI equal to or greater than 35

Question 15

Definition of hypertension?

Answer 15

• A condition in which the force of the blood against the artery walls is too high.
• Usually hypertension is defined as blood pressure above
  140/90
• Considered severe if the pressure is above
  180/120.

Question 16

What is the classification of pregnancy induced hypertension?

Answer 16

• Is a condition characterized by high blood pressure during
  pregnancy

Question 17

A wahine 1+ protein in her urine and a BP of 130/86 what are your actions.

Answer 17

• look at her trends of BP
• ask if she has virginal discharge
• or any headaches blurry/stray vision or epigastric pain