Westra: Clinical Aspects of Pregnancy II

Question 1

what is the leading cause of maternal and preinatal morbidity and mortality in Europe and NA?

Answer 1

hypertensive disorders of pregnancy

Question 2

what defines Chronic HTN?

Answer 2

BP 140/90 mm Hg before pregnancy or at less than 20wks gestation

Question 3

what type of DRUGS should you not use for HTN in pregnancy and why?

Answer 3

ACE-inhibitors (-pril). associated with oligohydramnios and neonatal renal failure

Question 4

what defines Pregnancy Induced HTN?

Answer 4

HTN w/o proteinuria at greater than 20wks gestation

Question 5

_____ is where systolic BP> 140/99 mm Hg occurring after 20wks of gestations in a woman whose BP has previously been normal and has proteinuria

Answer 5

Pre-eclampsia

Question 6

Treatment for pre-eclampsia?

Answer 6

delivery is the definitive treatment dependent on the gestational age. BP: hydralazine or Labetolol. Magnesium sulfate to prevent seizures

Question 7

what is the HELLP syndrome?

Answer 7

hemolysis, elevated liver enzymes, low platelet count

Question 8

what is a good medication for both depression and smoking cessation?

Answer 8

Bupropion