Maternal Fetal Medicine - Maternal Physiology Changes

Question 1

S/S of eclampsia

Answer 1

SBP over 140 mmHg or DBP over 90 mmHg

AND 1+ of the following:

• Proteinuria
• Renal impairment (proteinuria, high creatinine)
• Liver disease (epigastric pain, liver tenderness, elevated AST/ALT)
• Neuro problems (seizure, visual disturbance, clonus)
• Hematologic changes (thrombocytopenia - , hemolysis, DIC)
• Fetal grown restriction

Severe if SBP over 160 or DBP over 110, or if sever organ dysfunction

Question 2

T/F: Gestational hypertension is HTN that occurs in pregnancy with signs of pre-eclampsia.

Answer 2

False.

Question 3

What is the definition of “eclampsia?”

Answer 3

Seizures occurring in a patient with pre-eclampsia

Question 4

Eclampsia presents with HTN after ____ weeks gestation, and resolves within _____ months of delivery.

Answer 4

20; ”20 and 3”