74 Questions
What percentage of pregnant females are affected by hypertensive disorders during pregnancy?
8-10%
At what point during pregnancy can hypertension occur?
After 20 weeks gestation
What are some symptoms of pre-eclampsia?
Severe headache and vision problems
At what blood pressure level should pregnant females with severe hypertension be urgently referred to secondary care for same-day assessment?
160/110 mmHg
What medication is recommended for pregnant females at high risk of developing pre-eclampsia?
Aspirin
What medications should be stopped for pregnant females with chronic hypertension receiving antihypertensive treatment?
ACE inhibitors, ARBs, and thiazide diuretics
What is the first-line treatment for pregnant females with sustained blood pressure of 140/90 mmHg or higher?
Oral labetalol hydrochloride
What medication is recommended for females in a critical care setting with severe hypertension or pre-eclampsia, or with a history of eclamptic fit?
Intravenous magnesium sulfate
When should antenatal corticosteroids be considered for fetal lung maturation?
If early birth is likely within 7 days
What medication should be discontinued within 2 days and switched to an alternative antihypertensive after birth?
Methyldopa
What is the first-line treatment for hypertension during the post-natal period?
Enalapril maleate
What should be considered for babies born to mothers taking antihypertensives who are breastfeeding?
Blood pressure monitoring
When should females treated for hypertension during pregnancy have a medical review after birth?
6-8 weeks after birth
What percentage of pregnant females are affected by hypertensive disorders during pregnancy?
8-10%
At what point during pregnancy can hypertension occur?
After 20 weeks gestation
What are some symptoms of pre-eclampsia?
Severe headache and vision problems
At what blood pressure level should pregnant females with severe hypertension be urgently referred to secondary care for same-day assessment?
160/110 mmHg
What medication is recommended for pregnant females at high risk of developing pre-eclampsia?
Aspirin
What medications should be stopped for pregnant females with chronic hypertension receiving antihypertensive treatment?
ACE inhibitors, ARBs, and thiazide diuretics
What is the first-line treatment for pregnant females with sustained blood pressure of 140/90 mmHg or higher?
Oral labetalol hydrochloride
What medication is recommended for females in a critical care setting with severe hypertension or pre-eclampsia, or with a history of eclamptic fit?
Intravenous magnesium sulfate
When should antenatal corticosteroids be considered for fetal lung maturation?
If early birth is likely within 7 days
What medication should be discontinued within 2 days and switched to an alternative antihypertensive after birth?
Methyldopa
What is the first-line treatment for hypertension during the post-natal period?
Enalapril maleate
What should be considered for babies born to mothers taking antihypertensives who are breastfeeding?
Blood pressure monitoring
When should females treated for hypertension during pregnancy have a medical review after birth?
6-8 weeks after birth
Which of the following is a symptom of pre-eclampsia?
Sudden swelling of hands, feet, or face
What percentage of pregnant females are affected by hypertensive disorders during pregnancy?
8-10%
What is the first-line treatment for pregnant females with sustained blood pressure of 140/90 mmHg or higher?
Oral labetalol hydrochloride
Which antihypertensive drug should be stopped for pregnant females with chronic hypertension receiving antihypertensive treatment?
ACE inhibitors
What is the recommended treatment for females in a critical care setting with severe hypertension or pre-eclampsia, or with a history of eclamptic fit?
Intravenous magnesium sulfate
Which medication is recommended for pregnant females at high risk of developing pre-eclampsia, as well as those with more than one moderate risk factor?
Aspirin
What is the blood pressure threshold that requires urgent referral to secondary care for same-day assessment?
160/110 mmHg
Which antihypertensive drug is recommended as first-line treatment for hypertension during post-natal period?
Enalapril maleate
When should antenatal corticosteroids be considered for fetal lung maturation?
When early birth is likely within 7 days
What should females treated for hypertension during pregnancy do after birth?
Continue appropriate antihypertensive treatment
What should be done for babies born to mothers taking antihypertensives who are breastfeeding?
Blood pressure monitoring should be considered
When should pregnant females with hypertension be referred to a specialist?
When blood pressure is greater than 140/90 mmHg
What is the recommended medication for pregnant females with chronic hypertension receiving antihypertensive treatment?
Thiazide diuretics
What is the first-line treatment for hypertension during pregnancy?
Oral labetalol hydrochloride
What is the recommended medication for hypertension during post-natal period for females of black African or African-Caribbean family origin?
Nifedipine
What is the recommended medication for females in a critical care setting with severe hypertension or pre-eclampsia, or with a history of eclamptic fit?
Intravenous magnesium sulfate
What should be considered for fetal lung maturation if early birth is likely within 7 days?
Antenatal corticosteroids
What is the blood pressure threshold for pregnant females to receive antihypertensive treatment?
140/90 mmHg
What is the recommended medication for pregnant females at high risk of developing pre-eclampsia?
Aspirin
What are some symptoms of pre-eclampsia?
Severe headache and vision problems
What is the recommended medication for hypertension during post-natal period?
ACE inhibitors
What should be done for babies born to mothers taking antihypertensives who are breastfeeding?
Blood pressure monitoring
What percentage of pregnant females are affected by hypertensive disorders during pregnancy?
8-10%
When should females treated for hypertension during pregnancy have a medical review after birth?
6-8 weeks after birth
What is the recommended medication for pregnant females with chronic hypertension receiving antihypertensive treatment?
None of the above
What is the first-line treatment for hypertension during pregnancy?
Oral labetalol hydrochloride
What is the recommended medication for hypertension during post-natal period for females of black African or African-Caribbean family origin?
Nifedipine
What is the recommended medication for pregnant females with severe hypertension or pre-eclampsia, or with a history of eclamptic fit in a critical care setting?
Intravenous magnesium sulfate
What should be considered for fetal lung maturation if early birth is likely within 7 days?
Antenatal corticosteroids
What percentage of pregnant females are affected by hypertensive disorders during pregnancy?
8-10%
At what blood pressure level should pregnant females with severe hypertension be urgently referred to secondary care for same-day assessment?
160/110 mmHg
What is the recommended medication for pregnant females at high risk of developing pre-eclampsia?
Aspirin
What are some symptoms of pre-eclampsia?
Severe headache, vision problems, pain below ribs, vomiting, sudden swelling of hands, feet, or face, and proteinuria with blood pressure greater than 140/90 mmHg
What should be continued after birth for pregnant females with hypertension?
Methyldopa
What should be considered for babies born to mothers taking antihypertensives who are breastfeeding?
Blood pressure monitoring
When should females treated for hypertension during pregnancy have a medical review after birth?
6-8 weeks after birth
What is the recommended medication for pregnant females with chronic hypertension receiving antihypertensive treatment?
Thiazide diuretics
What is the first-line treatment for hypertension during pregnancy?
Oral labetalol hydrochloride
What medication is recommended for females in a critical care setting with severe hypertension or pre-eclampsia, or with a history of eclamptic fit?
Intravenous magnesium sulfate
What should be considered for fetal lung maturation if early birth is likely within 7 days?
Antenatal corticosteroids
What medication is recommended as first-line treatment for hypertension during post-natal period?
Enalapril maleate
What percentage of pregnant females are affected by hypertensive disorders during pregnancy?
8-10%
What are some symptoms of pre-eclampsia?
Blurred vision
At what blood pressure level should pregnant females with severe hypertension be urgently referred to secondary care for same-day assessment?
160/110 mmHg or higher
What should be done with methyldopa after birth?
Discontinued within 2 days and switched to an alternative antihypertensive
What should be considered for babies born to mothers taking antihypertensives who are breastfeeding?
Blood pressure monitoring
What percentage of pregnant females are affected by gestational hypertension?
6-8%
What medication should not be used for pregnant females with chronic hypertension receiving antihypertensive treatment?
ACE inhibitors
Study Notes
Management of Hypertensive Disorders During Pregnancy and Postpartum
- Hypertensive disorders during pregnancy affect 8-10% of pregnant females, and can cause significant morbidity and mortality for both mother and baby.
- Hypertension can occur before or after 20 weeks gestation, and can be chronic or gestational.
- Symptoms of pre-eclampsia include severe headache, vision problems, pain below ribs, vomiting, sudden swelling of hands, feet, or face, and proteinuria with blood pressure greater than 140/90 mmHg.
- Pregnant females with hypertension should be referred to a specialist, and those with severe hypertension (blood pressure of 160/110 mmHg or higher) require urgent referral to secondary care for same-day assessment.
- Aspirin is recommended for pregnant females at high risk of developing pre-eclampsia, as well as those with more than one moderate risk factor.
- Pregnant females with chronic hypertension receiving antihypertensive treatment should have their drug therapy reviewed, and ACE inhibitors, ARBs, and thiazide diuretics should be stopped.
- Antihypertensive treatment is recommended for pregnant females with sustained blood pressure of 140/90 mmHg or higher, with first-line treatment being oral labetalol hydrochloride.
- Intravenous magnesium sulfate is recommended for females in a critical care setting with severe hypertension or pre-eclampsia, or with a history of eclamptic fit.
- Antenatal corticosteroids should be considered for fetal lung maturation if early birth is likely within 7 days.
- Appropriate antihypertensive treatment should be continued after birth, and methyldopa should be discontinued within 2 days and switched to an alternative antihypertensive.
- Enalapril maleate is recommended as first-line treatment for hypertension during post-natal period, with nifedipine or amlodipine being considered for females of black African or African-Caribbean family origin.
- Blood pressure monitoring should be considered in babies born to mothers taking antihypertensives who are breastfeeding, and females should be advised to monitor their babies for adverse reactions.
- Females treated for hypertension during pregnancy should have a medical review 6-8 weeks after birth with their GP or specialist.
Management of Hypertensive Disorders During Pregnancy and Postpartum
- Hypertensive disorders during pregnancy affect 8-10% of pregnant females, and can cause significant morbidity and mortality for both mother and baby.
- Hypertension can occur before or after 20 weeks gestation, and can be chronic or gestational.
- Symptoms of pre-eclampsia include severe headache, vision problems, pain below ribs, vomiting, sudden swelling of hands, feet, or face, and proteinuria with blood pressure greater than 140/90 mmHg.
- Pregnant females with hypertension should be referred to a specialist, and those with severe hypertension (blood pressure of 160/110 mmHg or higher) require urgent referral to secondary care for same-day assessment.
- Aspirin is recommended for pregnant females at high risk of developing pre-eclampsia, as well as those with more than one moderate risk factor.
- Pregnant females with chronic hypertension receiving antihypertensive treatment should have their drug therapy reviewed, and ACE inhibitors, ARBs, and thiazide diuretics should be stopped.
- Antihypertensive treatment is recommended for pregnant females with sustained blood pressure of 140/90 mmHg or higher, with first-line treatment being oral labetalol hydrochloride.
- Intravenous magnesium sulfate is recommended for females in a critical care setting with severe hypertension or pre-eclampsia, or with a history of eclamptic fit.
- Antenatal corticosteroids should be considered for fetal lung maturation if early birth is likely within 7 days.
- Appropriate antihypertensive treatment should be continued after birth, and methyldopa should be discontinued within 2 days and switched to an alternative antihypertensive.
- Enalapril maleate is recommended as first-line treatment for hypertension during post-natal period, with nifedipine or amlodipine being considered for females of black African or African-Caribbean family origin.
- Blood pressure monitoring should be considered in babies born to mothers taking antihypertensives who are breastfeeding, and females should be advised to monitor their babies for adverse reactions.
- Females treated for hypertension during pregnancy should have a medical review 6-8 weeks after birth with their GP or specialist.
Management of Hypertensive Disorders During Pregnancy and Postpartum
- Hypertensive disorders during pregnancy affect 8-10% of pregnant females, and can cause significant morbidity and mortality for both mother and baby.
- Hypertension can occur before or after 20 weeks gestation, and can be chronic or gestational.
- Symptoms of pre-eclampsia include severe headache, vision problems, pain below ribs, vomiting, sudden swelling of hands, feet, or face, and proteinuria with blood pressure greater than 140/90 mmHg.
- Pregnant females with hypertension should be referred to a specialist, and those with severe hypertension (blood pressure of 160/110 mmHg or higher) require urgent referral to secondary care for same-day assessment.
- Aspirin is recommended for pregnant females at high risk of developing pre-eclampsia, as well as those with more than one moderate risk factor.
- Pregnant females with chronic hypertension receiving antihypertensive treatment should have their drug therapy reviewed, and ACE inhibitors, ARBs, and thiazide diuretics should be stopped.
- Antihypertensive treatment is recommended for pregnant females with sustained blood pressure of 140/90 mmHg or higher, with first-line treatment being oral labetalol hydrochloride.
- Intravenous magnesium sulfate is recommended for females in a critical care setting with severe hypertension or pre-eclampsia, or with a history of eclamptic fit.
- Antenatal corticosteroids should be considered for fetal lung maturation if early birth is likely within 7 days.
- Appropriate antihypertensive treatment should be continued after birth, and methyldopa should be discontinued within 2 days and switched to an alternative antihypertensive.
- Enalapril maleate is recommended as first-line treatment for hypertension during post-natal period, with nifedipine or amlodipine being considered for females of black African or African-Caribbean family origin.
- Blood pressure monitoring should be considered in babies born to mothers taking antihypertensives who are breastfeeding, and females should be advised to monitor their babies for adverse reactions.
- Females treated for hypertension during pregnancy should have a medical review 6-8 weeks after birth with their GP or specialist.
Test your knowledge on the management of hypertensive disorders during pregnancy and postpartum with this informative quiz. From identifying symptoms of pre-eclampsia to selecting appropriate antihypertensive treatment, this quiz covers essential information for healthcare professionals involved in the care of pregnant females with hypertension. Keywords: hypertensive disorders, pregnancy, pre-eclampsia, antihypertensive treatment, postpartum, medical review.
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