Midwifery I Final Exam Questions and
Answers 100% Pass
How is chronic hypertension diagnosed? - ✔✔HTN prior to conception or prior to 20
weeks
Mild chronic HTN
Severe chronic HTN - ✔✔>140/90
>160/110
Persists for at least 12 weeks postpartum
Baseline labs for chronic HTN
Medications? - ✔✔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? - ✔✔Visits every 3 weeks
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 1
,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? - ✔✔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? - ✔✔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? - ✔✔urine protein, platelets, LFTs
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 2
, 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? - ✔✔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 apart
3. 2 separate readings at least 6 hrs apart >160 OR >110 after 20 weeks
Protein-->+500mg in 24 hr urine OR +3 urine dip on two samples 6hrs apart
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 3
Answers 100% Pass
How is chronic hypertension diagnosed? - ✔✔HTN prior to conception or prior to 20
weeks
Mild chronic HTN
Severe chronic HTN - ✔✔>140/90
>160/110
Persists for at least 12 weeks postpartum
Baseline labs for chronic HTN
Medications? - ✔✔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? - ✔✔Visits every 3 weeks
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 1
,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? - ✔✔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? - ✔✔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? - ✔✔urine protein, platelets, LFTs
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 2
, 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? - ✔✔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 apart
3. 2 separate readings at least 6 hrs apart >160 OR >110 after 20 weeks
Protein-->+500mg in 24 hr urine OR +3 urine dip on two samples 6hrs apart
Disclaimer: Original Content, No Copyright Infringement, All Rights Reserved © 2025 3
