CMN 568 Unit 6 Test with Verified Answers
What is first line tx of chronic HTN in pregnant patients? - ✅✅ Methyldopa
What HTN meds are contraindicated in pregnancy? - ✅✅ ACE and arbs are
contraindicated in pregnancy
When is PIH diagnosed? - ✅✅ BP > 140/90 after 20 weeks of pregnancy
How is PIH distinguished from pre-eclampsia? - ✅✅ neg. Proteinuria in PIH
How is PIH tx? - ✅✅ rest and medications. Instruct pt. To monitor bp at home
What are the 3 most commonly used drugs in HTN of pregnancy? - ✅✅
Methyldopa, labetalol, nifedipine
What increases the risk for pre-eclampsia? - ✅✅ Primip, Age <20 or >35yr,
multiple gestation, Diabetic, Chronic thyroid, renal or HTN disease
What are s/s of pre-eclampsia? - ✅✅ HTN, HA, RUQ pain, Visual Changes,
Proteinuria, Edema
How is pre-eclampsia diagnosed? - ✅✅ based on BP >140/90 on 2 occasions +
proteinuria of >300mg/24hr
What labs should be assessed in pre-eclampsia? - ✅✅ CBC, LDH, Creatinine,
Uric Acid (>6 is considered high), AST/ALT
How is mild pre-eclampsia classified? - ✅✅ BP >140/90 but <160/110,
Proteinuria of <5g/day, and asymptomatic
How is severe pre-eclampsia classified? - ✅✅ BP>160/110, proteinuria > 5g/day
(3+), oliguria, RUQ/epigastric pain, liver dysfunction, vision changes,
thrombocytopenia, pulmonary edema
What is the definitive tx. Of pre-eclampsia after 37 weeks? - ✅✅ delivery
, What is the tx of mild pre-eclampsia before 37 weeks? - ✅✅ bed rest, close
monitoring, corticosteroids to increase fetal lung maturation if <34 weeks
How is severe pre-eclampsia tx? - ✅✅ hospitalization, blood pressure control,
seizure prevention, delivery as soon as possible
What does HELLP stand for? - ✅✅ Hemolysis
Elevated Liver enzymes
Low Platelets
What labs should be ordered for patients in HELLP? - ✅✅ CBC and lfts
What are the risk factors for HELLP? - ✅✅ multip, maternal age > 25,
Caucasian, hypertension
What are the S/S of HELLP? - ✅✅ RUQ pain, proteinuria, N/V, HA, Visual
changes, fatigue, HTN
Any patient presenting with RUQ pain should be evaluated immediately for what?
- ✅✅ HELLP even if bp is normal and no protein in urine is present
What does folate deficiency resemble? - ✅✅ megaloblastic anemia as seen in
B12 deficiency except that neurologic abnormalities are absent
When does megaloblastic anemia of folate deficiency develop? - ✅✅ within 4-5
months
When does neural tube closure take place? - ✅✅ 21-28 days post conception
What is the most common neural tube defect? - ✅✅ spina bifida
What is the recommended daily intake of folic acid for non-pregnant women with
no known risk factors for neural tube defect? - ✅✅ 400 mcg
What medication places women at a higher risk for a neural tube defect-affected
pregnancy? - ✅✅ anticonvulsants
What ethnicity is at a higher risk for having babies with congenital neural
malformations? - ✅✅ Hispanic
