Medical Complications of Pregnancy

Question 1

This type of hypertension is diagnosed prior to 20 weeks gestation and is treated with Methyldopa?

Answer 1

Chronic HTN

Question 2

What is preeclampsia in addition to a preexisting Hypertensive condition?

Answer 2

Superimposed preeclampsia

Question 3

This hypertension begins after 20 weeks gestation, and resolves 12 weeks post partum

Answer 3

Gestational HTN

Question 4

What is the treatment for gestational HTN?

Answer 4

Hydralazine or Labetalol

Question 5

What is HTN, proteinuria, and seizures after 20 weeks gestation?

Answer 5

Eclampsia

Question 6

What is the treatment for eclampsia?

Answer 6

Give Magnesium sulfate and deliver the fetus as soon as possible

Question 7

What is preeclampsia with convulsions?

Answer 7

eclampsia

Question 8

This condition is defined as HTN with proteinuria after 20 weeks gestation?

Answer 8

Preeclampsia

Question 9

If a pregnant patient has proteinuria, hypertension before 20 weeks gestation, what 2 specific conditions should be on our differential diagnosis?

Answer 9

-Multiple gestation
-Molar pregnancy

Question 10

Obesity (has strongest relationship), age, current dx of HTN, asthma, still birth, and nulliparity are risk factors for what?

Answer 10

Preeclampsia

Question 11

What is the diagnostic criteria for mild preeclampsia?

Answer 11

BP 140/90
Proteinuria >300 mg - or- 1+ on dipstick

Question 12

What is the treatment for mild preeclampsia?

Answer 12

Give steroids to help fetus develop faster; Deliver at 37 weeks

Question 13

What is the diagnostic criteria for severe preeclampsia?

Answer 13

BP 160/110
Proteinuria >5g -or- +3 on dipstick

Question 14

Treatment for severe preeclampsia?

Answer 14

If 35-34 weeks, deliver fetus

If <34 give magnesium sulfate and corticosteroids and monitor the baby

Question 15

How can you prevent preeclampsia?

Answer 15

Give low dose aspirin beginning at 12-16 weeks gestation

Question 16

Severe headache, persistent occipital lobe pain, blurred vision, photophobia, and AMS are symptoms of what condition?

Answer 16

Preeclampsia

Question 17

What is severe preeclampsia with low platelets, elevated liver enzymes, and hemolysis within 7 days of delivery?

Answer 17

HELLP Syndrome

Question 18

What are the 4 components in the treatment of HELLP syndrome?

Answer 18

intravenous magnesium sulfate
intravenous dexamethasone
control of blood pressure
deliver fetus asap;

Question 19

Presentation: epigastric or URQ PX; N/V; edema with secondary weight gain; fatigue; dyspnea; jaundice, headache, vision changes; HTN & Proteinuria in 80%; BRISK tendon reflex

Answer 19

HELLP syndrome

Question 20

What is glucose intolerance only present in pregnancy?

Answer 20

Gestational diabetes

Question 21

What four hormones contribute to gestational diabetes?

Answer 21

Progesterone
Corticotropin releasing hormone
Human Placental Lactogen hormone
Growth hormone

Question 22

What is the pathophysiology of gestational diabetes?

Answer 22

Beta cell dysfunction in the pancreases & increased insulin resistance

Question 23

When is the 1H glucose test done in low risk patients?

Answer 23

24-28 weeks

Question 24

What value is considered positive for a 1H glucose test?

Answer 24

> 140

Question 25

If fasting glucose is > 105 what step should be considered?

Answer 25

Adding insulin

Question 26

Does insulin cross the placenta?

Answer 26

no

Question 27

Having this condition puts a pregnant person at risk for spontaneous abortion, preeclampsia; T2D, and risk for needing c-section?

Answer 27

gestational diabetes

Question 28

shoulder dystocia; macrosomia (big baby); hyperbilirubinemia; polycythemia; neonatal hypoglycemia; perinatal mortality are all fetal complications of what diagnosis in the pregnant person?

Answer 28

gestational diabetes

Question 29

FHX DM; HTN Chronic; PCOS; BMI >30; infant >4kg at birth, and obesity are risk factors for getting what disorder?

Answer 29

GD