Care of the Patient with Mild
Preeclampsia, Severe Preeclampsia,
Eclampsia & HELLP Syndrome
Questions and Answers (100% Correct
Answers) Already Graded A+
Hypertensive Disorders in Pregnancy Ans: -Most
common medical complication during pregnancy
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-Contributes to maternal morbidity and mortality
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-Associated with intrauterine fetal death (IUFD)
because of decreased placental perfusion
Four categories of hypertensive disorders that
occur in pregnancy Ans: Gestational
Hypertension
Preeclampsia*
Eclampsia*
Chronic Hypertension
Preeclampsia Ans: A systolic BP of 140 mm HG
or greater or a diastolic of 90 mm HG or greater
occurring after 20 weeks of pregnancy that is
usually accompanied by significant proteinuria
, 2
(> or equal to 300mg in 24hr urine collection,
dipstick of > or equal to 1+)
Women may experience edema; however this is
NOT always the case.
Only known cure is birth of the fetus.
Eclampsia Ans: Progression of preeclampsia to
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generalized seizures that cannot be attributed to
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other causes. Seizures may occur postpartum.
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Disease Theories Ans: (1) Abnormal implantation
of placenta
(2) Autoimmune response (APA)--mom's body
sees fetus as foreign object
(3) Maternal maladaptation to CV or
inflammatory changes of pregnancy
(4) Dietary deficiencies
(5) Genetic influences
Risk factors for Preeclampsia Ans: -Exposed to
chorionic villi for first time (Primagravidas)*
, 3
-Exposed to superabundance of chorionic villi
(Multi-fetuses)*
-Preexisting CV disease*
-Diabetes*
-Maternal age older than 35 years*
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-African American ethnicity*
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-Those with a positive family or personal history
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of pregnancy induced hypertension
-Those with chronic hypertension or renal
disease
-Anemia
-Obesity
Pathophysiology of Preeclampsia Ans: Poor
perfusion d/t arteriolar VASOSPASM which leads
to POOR PLACENTAL PERFUSION and a
DECREASED DIAMERTER OF BLOOD VESSELS
which impeded blood flow to ALL ORGANS and
INCREASES B/P