PREGNANCY INDUCED HYPERTENSION

Question 1

PIH

Answer 1

Pregnancy Induced Hypertension

Question 2

“Acute” hypertensive states post “20 weeks”

Answer 2

PIH

Question 3

Risk factors of PIH

Answer 3

1. Nulligravid or primipara
2. Multiple gestation
3. Young and old extremes in age
4. Comorbitdity: DM, renal problem, hydramnios
5. Low socioeconomic group
6. Low protein diet
7. Smoker
8. Obesity

Question 4

refers to a woman who has never been pregnant.

Answer 4

Nulligravid

Question 5

refers to a woman who has given birth to one child (alive or stillborn) after 20 weeks of pregnancy.

Answer 5

Primipara

Question 6

Testing for PIH

Answer 6

Roll over position:
- one on flat and one od side lying
- get BP.
- > 20 diastolic - (+) hypertension

Question 7

Manifestations for PIH

Answer 7

• Edema
• Proteinuria
• HTN - BP increase in 2nd and 3rd trimester
• Convulsion

Question 8

Medical treatmentfor PIH

Answer 8

1. Bed rest and side lying
2. Diet: Increase CHON, adequate salt and decrease FAT
   3.WOF deep tendon reflex
   ( IF ECLAMPSIA , EMERGENCY DELIVERY )

Question 9

Seizure Precaution

Answer 9

1. AIRWAY ( TURN HEAD TO SIDE )
2. HEAD PROTECTION ( FLOOR )
3. NO TONGUE DEPRESSOR
4. O2 AND SUCTION