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Mastering Hypertension in Pregnancy
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Mastering Hypertension in Pregnancy

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Questions and Answers

Which of the following is NOT a major complication of hypertension in pregnancy?

  • Abruptio placenta
  • DIC (correct)
  • Renal failure
  • Cerebral hemorrhage

    • What is the definitive treatment for gestational hypertension/re eclampsia/eclampsia?

  • IV Labetolol
  • Immediate delivery (correct)
  • Magnesium sulphate
  • IV Access

    • Which regimen involves a loading dose of 4g IV over 4 minutes and 10g 1M stat for management of eclampsia?

  • Pitchard regimen (correct)
  • Zuspan regimen
  • Dhaka regimen
  • Mgso4 Regimens

    • Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>Retinal detachment</p> Signup and view all the answers

    What is the recommended antihypertensive medication for management of eclampsia?

    <p>IV Labetolol</p> Signup and view all the answers

    Which regimen involves a loading dose of 4g IV over 4 minutes and 10g 1M stat for management of eclampsia?

    <p>Zuspan regimen</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>Retinal detachment</p> Signup and view all the answers

    What is the recommended antihypertensive medication for management of eclampsia?

    <p>IV Labetolol</p> Signup and view all the answers

    What is the definitive treatment for gestational hypertension/re eclampsia/eclampsia?

    <p>Delivery</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>DIC</p> Signup and view all the answers

    What is the recommended antihypertensive medication for management of eclampsia?

    <p>IV Labetolol</p> Signup and view all the answers

    Which regimen involves a loading dose of 4g IV over 4 minutes and 10g 1M stat for management of eclampsia?

    <p>Pitchard regimen</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>DIC</p> Signup and view all the answers

    What is the recommended antihypertensive medication for management of eclampsia?

    <p>IV Labetolol</p> Signup and view all the answers

    Which regimen involves a loading dose of 4g IV over 4 minutes and 10g 1M stat for management of eclampsia?

    <p>Pitchard regimen</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>DIC</p> Signup and view all the answers

    What is the recommended anticonvulsant medication for management of eclampsia?

    <p>Magnesium sulphate</p> Signup and view all the answers

    Which regimen involves a loading dose of 4g IV over 4 minutes and 10g 1M stat for management of eclampsia?

    <p>Pitchard regimen</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>DIC</p> Signup and view all the answers

    What is the recommended anticonvulsant medication for management of eclampsia?

    <p>Magnesium sulphate</p> Signup and view all the answers

    What is the goal of antihypertensive medication in the management of eclampsia?

    <p>To prevent severe increase in BP leading to cerebral hemorrhage</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>Retinal detachment</p> Signup and view all the answers

    What is the recommended anticonvulsant medication for management of eclampsia?

    <p>Magnesium sulphate</p> Signup and view all the answers

    What is the goal of antihypertensive medication in the management of eclampsia?

    <p>To prevent severe increase in BP leading to cerebral hemorrhage</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>Retinal detachment</p> Signup and view all the answers

    What is the definitive treatment for gestational hypertension/re eclampsia/eclampsia?

    <p>Magnesium sulphate</p> Signup and view all the answers

    What is the goal of antihypertensive medication in the management of eclampsia?

    <p>To prevent severe increase in blood pressure</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>Renal failure</p> Signup and view all the answers

    What is the recommended anticonvulsant medication for management of eclampsia?

    <p>Magnesium sulphate</p> Signup and view all the answers

    What is the definitive treatment for gestational hypertension/re eclampsia/eclampsia?

    <p>Delivery</p> Signup and view all the answers

    Which of the following is a major cause of maternal and perinatal morbidity worldwide?

    <p>Preeclampsia</p> Signup and view all the answers

    What is the definition of gestational hypertension?

    <p>Hypertension that occurs after the 20th week of pregnancy without proteinuria</p> Signup and view all the answers

    What is the incidence of preeclampsia in pregnancies?

    <p>5-6%</p> Signup and view all the answers

    Which of the following is a risk factor associated with the pregnant woman for developing preeclampsia?

    <p>Primiparity</p> Signup and view all the answers

    Which stage of preeclampsia involves abnormal trophoblastic invasion?

    <p>Asymptomatic Placental Stage</p> Signup and view all the answers

    Which organ is NOT affected by preeclampsia?

    <p>Lungs</p> Signup and view all the answers

    What is the diagnostic criteria for proteinuria in preeclampsia?

    <p>Urine albumin/creatinine ratio of ≥8 mg/mmol</p> Signup and view all the answers

    Which of the following is the most common medical complication in pregnancy?

    <p>Preeclampsia</p> Signup and view all the answers

    What is the definition of gestational hypertension?

    <p>Hypertension that develops after the 20th week of pregnancy</p> Signup and view all the answers

    What is the incidence of preeclampsia in pregnancies?

    <p>5-6%</p> Signup and view all the answers

    What is the diagnostic criteria for proteinuria in preeclampsia?

    <p>≥0.3 g in a 24-hour collection</p> Signup and view all the answers

    What is the recommended anticonvulsant medication for management of eclampsia?

    <p>Magnesium sulfate</p> Signup and view all the answers

    What is the definitive treatment for gestational hypertension/re eclampsia/eclampsia?

    <p>Delivery of the fetus and placenta</p> Signup and view all the answers

    What is the goal of antihypertensive medication in the management of eclampsia?

    <p>To prevent seizures</p> Signup and view all the answers

    Which of the following is the definition of gestational hypertension?

    <p>Hypertension (SBP ≥140 mmHg and/or DBP ≥90 mmHg) for the first time after 20 weeks of gestation, without proteinuria</p> Signup and view all the answers

    Which of the following is the diagnostic criteria for proteinuria in preeclampsia?

    <p>Proteinuria ≥0.3 g in a 24-hour urine collection</p> Signup and view all the answers

    Which of the following is the major cause of maternal and perinatal morbidity worldwide?

    <p>Hypertensive disorders in pregnancy</p> Signup and view all the answers

    Which of the following is a risk factor associated with the pregnant woman for developing preeclampsia?

    <p>Age &gt;40 years or 10 Yrs</p> Signup and view all the answers

    What is the diagnostic criteria for proteinuria in preeclampsia?

    <p>Urine protein/creatinine ratio of ≥30 mg/mmol (≥ 0.3 mg/mg)</p> Signup and view all the answers

    What is the incidence of preeclampsia in pregnancies?

    <p>5-15%</p> Signup and view all the answers

    What is the definitive treatment for gestational hypertension/re eclampsia/eclampsia?

    <p>Delivery of the baby and placenta</p> Signup and view all the answers

    What is the most common medical disorder complicating pregnancy?

    <p>Preeclampsia</p> Signup and view all the answers

    Which of the following is a risk factor associated with the pregnant woman for developing preeclampsia?

    <p>All of the above</p> Signup and view all the answers

    What is the diagnostic criteria for proteinuria in preeclampsia?

    <p>All of the above</p> Signup and view all the answers

    Which stage of preeclampsia involves abnormal trophoblastic invasion?

    <p>Asymptomatic Placental Stage</p> Signup and view all the answers

    Which of the following is the definition of chronic/preexisting hypertension?

    <p>Hypertension that antedates pregnancy or is present before the 20th week of pregnancy</p> Signup and view all the answers

    Which of the following is the diagnostic criteria for gestational hypertension?

    <p>Hypertension (SBP ≥140 mmHg and/or DBP ≥90 mmHg) for the first time after 20 weeks of gestation, without proteinuria</p> Signup and view all the answers

    Which of the following is the major cause of maternal and perinatal morbidity worldwide?

    <p>Preeclampsia</p> Signup and view all the answers

    Which of the following is the definition of gestational hypertension?

    <p>BP 140/90 2 readings 6 hours apart, FIRST TIME after 20 weeks, recovers</p> Signup and view all the answers

    What is the diagnostic criteria for proteinuria in preeclampsia?

    <p>300 mg or more of protein in a 24-hour urine collection</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>Gestational diabetes</p> Signup and view all the answers

    Physiological changes in pregnancy can lead to which of the following regarding blood pressure?

    <p>Increased intravascular volume</p> Signup and view all the answers

    Which of the following is a classification of hypertension in pregnancy?

    <p>Gestational Hypertension</p> Signup and view all the answers

    What is the definition of Gestational Hypertension?

    <p>Blood pressure reading of 140/90 mmHg or higher on two separate occasions</p> Signup and view all the answers

    Which of the following is a classification of hypertension in pregnancy?

    <p>Gestational Hypertension and Pre-eclampsia</p> Signup and view all the answers

    What is the diagnostic criteria for gestational hypertension?

    <p>Blood pressure (BP) of 140/90 mmHg on two separate occasions at least 6 hours apart after 20 weeks of gestation</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>Gestational diabetes</p> Signup and view all the answers

    Which of the following is the classification of hypertension in pregnancy?

    <p>Gestational Hypertension</p> Signup and view all the answers

    What is the definition of gestational hypertension?

    <p>Blood pressure (BP) reading of 140/90 mmHg or higher on two separate occasions, 6 hours apart, after 20 weeks of gestation</p> Signup and view all the answers

    What is the most common medical disorder complicating pregnancy?

    <p>Gestational Hypertension</p> Signup and view all the answers

    Which of the following is the diagnostic criteria for gestational hypertension?

    <p>BP 140/90 2 readings 6 hours apart, FIRST TIME after 20 weeks, recovers</p> Signup and view all the answers

    What is the definition of Gestational Hypertension?

    <p>High blood pressure that develops during pregnancy after 20 weeks and resolves after delivery</p> Signup and view all the answers

    What is the most common cause of maternal and perinatal morbidity worldwide?

    <p>Hypertension in pregnancy</p> Signup and view all the answers

    Which of the following is the definition of gestational hypertension?

    <p>BP 140/90 2 readings 6 hours apart, FIRST TIME after 20 weeks, recovers</p> Signup and view all the answers

    Which of the following is NOT a major complication of hypertension in pregnancy?

    <p>Gestational diabetes</p> Signup and view all the answers

    What is the goal of antihypertensive medication in the management of eclampsia?

    <p>To prevent seizures</p> Signup and view all the answers

    Study Notes

    Complications of Hypertension in Pregnancy

    • Placental abruption, fetal growth restriction, and maternal cardiomyopathy are major complications of hypertension in pregnancy.
    • Placental abruption is NOT a major complication of hypertension in pregnancy.

    Definitive Treatment

    • The definitive treatment for gestational hypertension/re eclampsia/eclampsia is delivery.

    Management of Eclampsia

    • The recommended anticonvulsant medication for management of eclampsia is magnesium sulfate.
    • The regimen involves a loading dose of 4g IV over 4 minutes and 10g 1M stat for management of eclampsia.
    • The goal of antihypertensive medication in the management of eclampsia is to control blood pressure.

    Hypertension in Pregnancy

    • Hypertension is a major cause of maternal and perinatal morbidity worldwide.
    • The definition of gestational hypertension is hypertension that develops after 20 weeks of gestation without proteinuria.
    • The incidence of preeclampsia in pregnancies is approximately 2-8%.
    • Primiparity is a risk factor associated with the pregnant woman for developing preeclampsia.
    • Abnormal trophoblastic invasion occurs during stage 1 of preeclampsia.
    • The diagnostic criteria for proteinuria in preeclampsia is >300mg of protein in a 24-hour urine collection.

    Classification of Hypertension

    • The classification of hypertension in pregnancy includes gestational hypertension, chronic hypertension, and preeclampsia.

    Physiological Changes in Pregnancy

    • Physiological changes in pregnancy can lead to a decrease in blood pressure.

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    Description

    Test your knowledge on hypertension in pregnancy with this quiz by Dr. Sathisha Nayak. Learn about major complications, management principles, and how to handle eclampsia. Explore prevention methods and understand the various investigations involved in diagnosing complications such as renal failure and cerebral hemorrhage.

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