Midwifery I Final Exam(questions with verified solution)

Midwifery I Final Exam How is chronic hypertension diagnosed? - correct answer HTN prior to conception or prior to 20 weeks Mild chronic HTN Severe chronic HTN - correct answer 140/90 160/110 Persists for at least 12 weeks postpartum Baseline labs for chronic HTN Medications? - correct answer CBC, LFTS, creatinine, protein/creatinine ratio Antihypertensives not recommended unless they were on something before, labetolol is commonly used Management of chronic HTN--when to see pt and tests to perform? Patient education? What should they watch out for? - correct answer Visits every 3 weeks NST, BPP, growth US Manage diet, salt intake, exercise Visual changes, decreased fetal movement, manage BP at home and report 140/90, new-onset headache that won't go away with tylenol, heart burn that won't go away with tums, edema above elbows/knees or face Complications of chronic HTN---what are they are at high risk for? - correct answer High risk for: preterm labor, placental abruption, cesarean, IUGR, oligohydramnios When is a pt considered to have gestational htn? Can she have proteinuria?