Pregnancy Complications and Risk Factors
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Questions and Answers

What is the significance of liver involvement in pre-eclampsia?

  • It results in high blood pressure
  • It leads to haemolysis, elevated liver enzymes, and low platelets (correct)
  • It causes gestational diabetes
  • It causes decreased platelet count

Which symptom is NOT typically associated with pre-eclampsia?

  • Visual disturbance
  • Abnormal LFT (correct)
  • Headache
  • Nausea and vomiting

What maternal conditions can predispose a woman to pre-eclampsia?

  • Fetal macrosomia
  • Maternal hypertension
  • Gestational diabetes
  • Thrombophilia's (correct)

Which parameter is used to predict pre-eclampsia?

<p>Maternal uterine artery doppler (D)</p> Signup and view all the answers

In what scenario should a pregnant woman be admitted due to pre-eclampsia?

<p>&gt;300mg/24h proteinuria detected (A)</p> Signup and view all the answers

What is the role of estrogen and progesterone during pregnancy?

<p>Prevent involution of corpus luteum (D)</p> Signup and view all the answers

Which maternal adaptation occurs due to high levels of Human Chorionic Gonadotropin (HCG)?

<p>Elevated levels of glucose for fetal use (C)</p> Signup and view all the answers

In which trimester does maternal blood pressure typically rise during pregnancy?

<p>3rd trimester (D)</p> Signup and view all the answers

What is the effect of progesterone on respiratory changes during pregnancy?

<p>Increase in tidal volume and minute volume (D)</p> Signup and view all the answers

Why is it crucial to measure symphysis fundal height (SFH) from 24 weeks during pregnancy?

<p>To track fetal growth and development (D)</p> Signup and view all the answers

What maternal condition has an increased risk of venous thromboembolism during and after pregnancy?

<p>Cardiac conditions (C)</p> Signup and view all the answers

Why does a mother with Rh-negative blood receive anti-D injection around week 28 of pregnancy?

<p>To protect against RBC destruction in subsequent pregnancies (A)</p> Signup and view all the answers

What is a consequence of poor asthma control during pregnancy?

<p>Increased risk of VTE (A)</p> Signup and view all the answers

Which maternal complication is associated with high stress on the heart during pregnancy?

<p>Cardiac conditions (B)</p> Signup and view all the answers

What is a significant physiological change caused by Human Chorionic Gonadotropin (HCG)?

<p>Doubling or &gt;60% rise in HCG levels (D)</p> Signup and view all the answers

Which of the following conditions is characterized by symphyseal-fundal height (SFH) greater than 2cm for the gestational age?

<p>Fetal macrosomia (C)</p> Signup and view all the answers

What is the most common cause of antepartum hemorrhage (APH)?

<p>Placental abruption (A)</p> Signup and view all the answers

Which medication is typically used to prevent seizures in women experiencing placental abruption?

<p>Diazepam (A)</p> Signup and view all the answers

What is the management approach for fetal compromise postpartum?

<p>Resuscitate the mother and deliver the baby (C)</p> Signup and view all the answers

In cases of placenta praevia, what is the recommended course of action if the placenta covers the internal os?

<p>Perform emergency c-section (D)</p> Signup and view all the answers

What is the appropriate management for a pregnant woman with symphyseal-fundal height (SFH) above the 90th centile on ultrasound?

<p>Monitor for shoulder dystocia during labor (D)</p> Signup and view all the answers

Which maternal complication can arise due to placental abruption?

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

What is the most common cause of antepartum hemorrhage?

<p>Placental abruption (C)</p> Signup and view all the answers

What is the primary medication used for seizure prophylaxis in cases of placental abruption?

<p>Diazepam (A)</p> Signup and view all the answers

What is the appropriate initial management strategy for a postpartum woman with fetal compromise?

<p>Resuscitate mother and deliver baby urgently (D)</p> Signup and view all the answers

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