Midwifery I Final Exam Questions & Answers (Graded A+)

How is chronic hypertension diagnosed? - ANSWER-HTN prior to conception or prior to 20 weeks Mild chronic HTN Severe chronic HTN - ANSWER->140/90 >160/110 Persists for at least 12 weeks postpartum Baseline labs for chronic HTN Medications? - 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? - 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? - ANSWER-High risk for: preterm labor, placental abruption, cesarean, IUGR, oligohydramnios When is a pt considered to have gestational htn? Can she have proteinuria? Does it resolve postpartum? - ANSWER-Has two separate readings >140 systolic OR 90 diastolic (for the first time) at least 6 hours apart AFTER 20 weeks gestation No proteinuria Resolves within 12 weeks postpartum What labs to monitor for gestational HTN? Management? what tests to run? - ANSWER-urine protein, platelets, LFTs Serial growth U/S, BP readings at home 2x No medications are necessary Watch for s/s of preeclampsia 1. Pathophysiology of preeclamspia 2. Mild preeclamspia defined as? 3. Severe preeclampsia defined as? 4. When does preeclampsia usually occur? - ANSWER-1. Abnormal trophoblastic invasion of the uterus at the placental site Causes narrowing of spiral arteries 2. 2 separate readings at least 6 hrs apart >140 OR >90 after 20 weeks OR Protein--> +300mg in 24 hr urine OR PCR 0.3 OR +1 urine dip on two samples at least 6 hrs ap Midwifery I Final Exam Questions & Answers (Graded A+)