Late pregnancy problems Witrak Flashcards Preview

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Flashcards in Late pregnancy problems Witrak Deck (11):
1

What is preeclampsia?

Multisystem disorder/syndrome of new onset HTN and proteinuria

2

When does preeclampsia usually present?

34wks gestation

3

What is the primary risk factor for preeclampsia?

First pregnancy

4

25% of preeclampsia cases are considered severe. What does it take for preeclampsia to be considered severe?

Systolic > 160; OR
Diastolic > 110; OR
5g protein/24hr urine; OR
End organ injury

5

What is the current theory to the pathology of preeclampsia?

Placental hypoperfusion with release of antiangiogenic factors

6

What are the possible symptoms of severe preeclampsia?

Headache, CNS hemorrhage, seizures (eclampsia), ARF, pulmonary edema, DIC, hepatic failure/rupture

HELLP syndrome

7

What is HELLP syndrome?

Hemolysis
Elevated Liver enzymes
Low Platelets

8

What are some possible consequences to the placenta or fetus with preeclampsia?

Placental infarcts
Abruption
Fetal growth retardation
Oligohydramnios

9

How is mild preeclampsia treated?

Frequent monitoring

10

How is severe preeclampsia treated?

Delivery regardless of gestational age

11

If preeclampsia is diagnosed between 23-34wks, what is given to the mother to decrease risk of fetus to pre-term delivery?

Glucocorticoids