BCEMP Obstetrics Exam Questions with Correct Answers| Latest Update Guaranteed Success
What is the definition for chronic HTN in pregnancy according to ACOG? SBP > 140 or DBP >
90 identified before 20 weeks gestation
High BP known to predate conception
When does gestational hypertension typically occur? After 20 weeks of pregnancy
Absence of proteinuria
What is the definition for chronic HTN in pregnancy according to AHA/ACC? SBP >120-129
and DBP >80
Stage I HTN SBP > 130-139, or DBP > 80-89
What are the modifiable risk factors for HTN in pregnancy? Overweight/obesity
DM
Hyperlipidemia
Physical Inactivity
Smoking
Unhealthy diet
What are the fixed risk factors for HTN in pregnancy? CKD
Family hx of HTN
Age
Lower socioeconomic status
Obstructive sleep apnea
, What are the potential MATERNAL harms of HTN during pregnancy? Increased risk of
pregnancy complications:
*gestational DM
*Preeclampsia/eclampsia
*postpartum hemorrhage
*maternal mortality
Others:
*stroke
*pulmonary edema
*MI
*renal failure associated with chronic HTN and HTN crisis
What are the potential FETAL harms of HTN during pregnancy? *Miscarriage
*Placental aburption
*Small for gestational age
*Preterm birth
*Low birth weight
*Perinatal death
T/F: 20-week is the defining mark for distinguishing between chronic HTN and gestational HTN
TRUE; sort-of, not absolute
Regardless of the classification there is still severity to consider as well:
Mild-moderate HTN: >140/>90
Severe HTN: >160/>110
What is the definition for chronic HTN in pregnancy according to ACOG? SBP > 140 or DBP >
90 identified before 20 weeks gestation
High BP known to predate conception
When does gestational hypertension typically occur? After 20 weeks of pregnancy
Absence of proteinuria
What is the definition for chronic HTN in pregnancy according to AHA/ACC? SBP >120-129
and DBP >80
Stage I HTN SBP > 130-139, or DBP > 80-89
What are the modifiable risk factors for HTN in pregnancy? Overweight/obesity
DM
Hyperlipidemia
Physical Inactivity
Smoking
Unhealthy diet
What are the fixed risk factors for HTN in pregnancy? CKD
Family hx of HTN
Age
Lower socioeconomic status
Obstructive sleep apnea
, What are the potential MATERNAL harms of HTN during pregnancy? Increased risk of
pregnancy complications:
*gestational DM
*Preeclampsia/eclampsia
*postpartum hemorrhage
*maternal mortality
Others:
*stroke
*pulmonary edema
*MI
*renal failure associated with chronic HTN and HTN crisis
What are the potential FETAL harms of HTN during pregnancy? *Miscarriage
*Placental aburption
*Small for gestational age
*Preterm birth
*Low birth weight
*Perinatal death
T/F: 20-week is the defining mark for distinguishing between chronic HTN and gestational HTN
TRUE; sort-of, not absolute
Regardless of the classification there is still severity to consider as well:
Mild-moderate HTN: >140/>90
Severe HTN: >160/>110
