Quiz 3: Hypertensive Disorders of Pregnancy Flashcards
What is the definition of hypertension in pregnancy?
A diastolic blood pressure of 80 mm Hg or above and/or a systolic blood pressure of 120 mm Hg or above
A diastolic blood pressure of 90 mm Hg or above and/or a systolic blood pressure of 140 mm Hg or above
A diastolic blood pressure of 100 mm Hg or above and/or a systolic blood pressure of 160 mm Hg or above
A rise in diastolic blood pressure of 10 mm Hg.
A diastolic blood pressure of 90 mm Hg or above and/or a systolic blood pressure of 140 mm Hg or above
What is the definition of significant proteinuria in pregnancy?
A trace of protein
1+ protein or more
2+ protein or more
3+ protein
1+ protein or more
How should you define pre-eclampsia?
Hypertension and proteinuria presenting before the start of pregnancy
Hypertension and proteinuria presenting in the first half of pregnancy
Hypertension and proteinuria presenting in the second half of pregnancy
Hypertension and proteinuria presenting any time in pregnancy
Hypertension and proteinuria presenting in the second half of pregnancy
What is the correct definition of chronic hypertension?
Hypertension, without proteinuria, that is present in the first half of pregnancy
Hypertension, together with proteinuria, that is present in the first second of pregnancy
Hypertension that is present in the first half of pregnancy, plus proteinuria that presents in the second half of pregnancy
Hypertension alone which is present at the time of booking at 28 weeks
back
Hypertension, without proteinuria, that is present in the first half of pregnancy
How common is pre-eclampsia?
Most pregnant women develop pre-eclampsia.
About 25% of all pregnant women develop pre-eclampsia.
About 5–6% of all pregnant women develop pre-eclampsia
Very rare
About 5–6% of all pregnant women develop pre-eclampsia
Which fetal condition is common in pregnancies complicated by pre-eclampsia?
Congenital malformations
Heart failure due to hypertension
Haemorrhagic disease of the newborn
Intra-uterine growth restriction
Intra-uterine growth restriction
Pre-eclampsia may cause fetal distress because it results in:
A decrease in placental blood flow
Fetal hypertension
Severe protein loss in the mother’s urine
Congenital abnormalities caused by antihypertensive drugs
A decrease in placental blood flow
A patient with pre-eclampsia who develops a diastolic blood pressure of 105 mm Hg and 2+ proteinuria at 36 weeks of pregnancy should be graded as having:
Pre-eclampsia
Pre-eclampsia with severe features
Chronic hypertension with superimposed pre-eclampsia
Eclampsia
Pre-eclampsia
What is an important sign of pre-eclampsia with severe features?
3 + proteinuria
Increased tendon reflexes
A diastolic blood pressure of 100 mm Hg
Tenderness on palpating the calves
Increased tendon reflexes
A patient with pre-eclampsia has a diastolic blood pressure of 95 mm Hg and 1+ proteinuria. She complains of flashes of light in front of her eyes and upper abdominal pain. In which of the following grades of pre-eclampsia should you put this patient?
Pre-eclampsia
Gestational hypertension
Pre-eclampsia with severe features
Eclampsia
Pre-eclampsia with severe features
Which of the following women has the highest risk of pre-eclampsia?
A patient with a history of pre-eclampsia starting early in the third trimester of a previous pregnancy
A patient with a history of a preterm delivery in her previous pregnancy
Grande multiparas
A patient who previously had a twin pregnancy
A patient with a history of pre-eclampsia starting early in the third trimester of a previous pregnancy
Which one of the following may be an early warning sign of pre-eclampsia?
Weight loss during the last months of pregnancy
Generalised oedema especially of the face
Oedema of the feet at the end of the day
Pain on passing urine
Generalised oedema especially of the face
What is the management of a patient with pre-eclampsia?
Oral antihypertensive drugs
Diuretics to reduce oedema
Hospitalisation
A loading dose of magnesium sulphate
Hospitalisation
Which one of the following is the method of delivery usually chosen in a patient with pre-eclampsia?
Caesarean section
Surgical induction followed by vaginal delivery at 32 weeks
Surgical induction followed by vaginal delivery if 34 weeks gestation has been reached.
Waiting until 40 weeks for a spontaneous onset of labour.
Surgical induction followed by vaginal delivery if 34 weeks gestation has been reached.
What is an important complication of pre-eclampsia?
Placenta praevia
Oedema of the face
Glycosuria
Intracerebral haemorrhage
Intracerebral haemorrhage
