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Flashcards in Exam 4 Preeclampsia Deck (78)
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1

The onset of HTN without proteinuria after week 20 of pregnancy

Gestational HTN

2

HTN is defined as a systolic BP greater than what?

140/90

3

Gestational HTN does not last longer than what?

Week 12 postpartum

4

When does gestational HTN usually resolve?

1st postpartum week

5

Pregnancy-specific condition in which HTN and proteinuria develop after 20 weeks of gestation in a woman who previously had neither

Preeclampsia

6

A vasospastic, systemic disorder that is easily characterized as mild or severe

Preeclampsia

7

When does preeclampsia resolve?

After the birth the fetus and expulsion of the placenta

8

Risk factors for preeclampsia

-Primigravida younger than 19 or older than 40
-Severe preeclampsia in previous pregnancy
-Family history of mother or sister with preeclampsia
-Paternal history of fathering a preeclamptic pregnancy in another woman
-African descent
-Multifetal gestation
-Maternal infection/inflammation

9

What preexisting medical or genetic conditions are risk factors for preeclampsia?

-Chronic HTN
-Renal dz
-Pregestational DM
-Connective tissue dz (lupus, RA)
-Thrombophilia
-Obesity

10

What is the best preeclampsia prevention method?

Early prenatal care and early detection

11

Mild preeclampsia BP

Greater than or equal to 140/90

12

Proteinuria for mild preeclampsia

Greater than or equal to 1+ on a dipstick

13

Urine output for mild preeclampsia

Greater than 25-30 mL/hr

14

Fetal effects of mild preeclampsia

Placental perfusion is reduced and intrauterine growth restriction

15

Severe preeclampsia BP

Greater than or equal to 160/110

16

Proteinuria for severe preeclampsia

Greater than or equal to 3+ on a dipstick

17

Urine output for severe preeclampsia

Less than 500 mL in a 24 hr period

18

HA with mild/sever preeclampsia

Mild: absent/transient
Severe: persistent/severe

19

Visual problems with severe preeclampsia

Blurred, photophobia

20

Pulmonary edema with mild/severe preeclampsia

Mild: absent
Severe: may be present

21

Irritability or changes in affect with mild/severe preeclampsia

Mild: transient
Severe: severe

22

What might be present with severe preeclampsia but not mild?

Epigastric pain, N/V, thrombocytopenia, impaired liver function

23

Fetal effects from severe preeclampsia

Decreased perfusion expressing as IUGR, abnormal fetal status on antepartum tests

24

The onset of seizure activity or coma in a woman with preeclampsia who has no history of preexisting patho

Eclampsia

25

Usually preceded by premonitory s/s, including persistent HA, blurred vision, severe epigastric or RUQ abdominal pain, and altered mental status

Eclampsia

26

What follows an eclampsia seizure?

Hypotension, muscular twitching, disorientation, amnesia

27

What do you monitor with eclamptic pts?

Urine output, lung sounds, DTRs, may have mag sulfate toxicity. You expect BP to be low, but really watch the respirations

28

A lab diagnosis for a variant of severe preeclampsia that involves hepatic dysfunction

HELLP Syndrome

29

HELLP Syndrome is characterized by what?

-Hemolysis (H)
-Elevated liver enzymes (EL)
-Low platelets

30

HELLP Syndrome usually develops when?

Antepartum period, progresses rapidly