HTN in Pregnancy

Question 1

Preeclampsia High Risk Factors

Just one to start ASA at 12w

Answer 1

1. hx PEC
2. multifetal
3. cHTN
4. DM
5. Renal D/z
6. Autoimmune dz

Question 2

Preeclampsia Mod-Risk
Factors

just two to start ASA

Answer 2

1. Nulliparity
2. Obesity
3. family hx PEC
4. Low SES
5. Age >35
6. other personal hx

Question 3

ASA MoA

Answer 3

COX inhibitor

Question 4

ASA initiation

Answer 4

> 12w-28w GA

Question 5

high risk factors to start ASA

Answer 5

DMII
kidney dz
HTN
hx PEC
multifetal
autoimmune dz

start if 1 or more risk fx

Question 6

mod risk factors to start ASA

Answer 6

first preg
>35yo
low SES
BMI >30
family hx PEC

Question 7

ASA CI in Pregnancy

absolute? relative?

Answer 7

Absolute: NSAID sensitivity, nasal polyp, asthma ASA-induced bronchospasm
Relative: GI bleeds, active ulcer

Question 8

Effected region on MRI after eclamptic seizure

Answer 8

occipital (2/2 edema)

T1 = water (edema) is hyperintense
T2 = hypointense

Question 9

Delivery timing for HELLP

Answer 9

immediately (>24w)

do not stop for steroids

Question 10

sodium nitroprusside side fx

Answer 10

-incr intracranial pressure
-worsening cerebral edema