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A 19-year-old woman, who delivered 1 week ago by normal vaginal
delivery, returns to the hospital today with a severe headache. Her
blood pressure is 130/84 mm Hg in the Semi-Fowler's position. Her
husband reports that she has been sleeping poorly-caring for the
baby. Her serum creatinine is 1.2 mg/dL. A diagnosis of preeclampsia
with severe features would be supported by which of the following? -
ANSWER-Select 2 answers.
The patient has a history of seizures.
*Her liver enzymes are more than twice normal.
*She has a grand mal seizure at this time.??
She experienced a preterm birth with this delivery.
A 24-year-old G2P1 presents for her first prenatal visit at 14 weeks.
She states that she has a history of systemic lupus erythematosus, but
it is not active presently. Her BP is 180/120 mm Hg. What are correct
next steps?
,Select all that apply.
Check cuff size and repeat BP within 15 minutes as you tell the
prenatal care provider.
Ask if she has white coat syndrome.
Check the BP on the other arm.
Immediately ask for an order for an antihypertensive. - ANSWER-
white coat syndrome?
check cuff?
swap arms? Noi idea wtf
A 25-year-old nulliparous patient at 30 weeks' gestation arrives to the
emergency room with a sore throat. She is found to have a blood
pressure of 150/90 mm Hg. She is sent to labor and delivery for
further evaluation of the hypertension. The blood pressure is repeated
while she is in the Semi-Fowler's position and noted to be 128/70 mm
Hg.
If the assessment is...
The patient may have preeclampsia.
And then you find...
She has been taking over-the-counter medications for nasal
congestion. - ANSWER-poss invalidated
A 27-year-old G1P0 with a twin gestation at 32 weeks presents to
labor and delivery for a preeclampsia evaluation after elevated blood
pressures were noted at her scheduled prenatal visit. The patient's
blood pressures on labor and delivery range from 130-142/90-94 mm
,Hg. Urine protein/creatinine ratio is 0.2 mg/dL, and all preeclamptic
labs are within normal limits. Fetal testing is reassuring. The provider
diagnoses gestational hypertension.
If the plan is to...
Discharge the patient home; follow-up with weekly blood pressure
checks, labs, and fetal testing.
And then you find...
The patient develops a headache unrelieved with acetaminophen.
Then the initial plan becomes... - ANSWER-possibly invalidated
A 28-year-old G2P0 with a history of well-controlled chronic
hypertension on labetalol 200 mg BID has an elevated BP of 155/95
mm Hg noted at the time of her 34-week scheduled prenatal visit. A
urine dipstick performed is negative for protein.
Appropriate management at this time would include which of the
following?
Select 3 answers.
Assess for signs/symptoms of preeclampsia
Increase her dose of labetalol
Check preeclamptic labs (CBC, liver enzymes, creatinine)
Discharge with 1-week follow-up plan for blood pressure check
Perform fetal nonstress testing - ANSWER-Assess for signs/symptoms
of preeclampsia
, Check preeclamptic labs (CBC, liver enzymes, creatinine)
Perform fetal nonstress testing
A 28-year-old G2P1 is considering becoming pregnant. She tells you
that her prior pregnancy was complicated by preeclampsia diagnosed
at 17 weeks. Her blood pressure today is 146/92 mm Hg. What is the
likely diagnosis for her last pregnancy?
Select an answer.
Systemic lupus erythematosus
Chronic hypertension
Gestational hypertension
Preeclampsia - ANSWER-chronic
A 29-year-old G2P1 presents for her first prenatal visit at 22 weeks'
gestation. Her blood pressure is 144/90 mm Hg, and her urine dipstick
is negative for protein. She denies any signs or symptoms of
preeclampsia, and lab work is pending. Fetal ultrasound shows the
fetal heart rate is in the 150s with the estimated fetal weight in the
40th percentile. Which of the following categories of hypertensive
disorders of pregnancy can be excluded?
Select an answer.
Preeclampsia
Chronic (preexisting) hypertension
Gestational hypertension