Pre-eclampsia investigations

Chose all answers indicating a pre-eclampsia symptom

• leg cramps

• headaches

• blurry vision or seeing flashing lights

• upper abdominal pain

• itchy hands and feet

The dipstick comes back with ++ protein. Your midwifery action is

• Repeat test as might be a false positive

• order a PCR as more accurately quantifies proteinuria and an MSU to exclude a UTI

• check for other symptoms and consult with obstetric team about next step

• proteinuria by itself is not require any action, repeat next time

A normal PCR is less than

• 30mg/mmol

• 40mg/mmol

• 50mg/mmol

• depends on the MSU result

Choose all the investigation that you would order if routine fetal growth monitoring raises fetal growth concerns and the pregnancy is affected by hypertension

• add umbilical artery doppler to your USS request

• plot estimated fetal weight on customised growth chart and the biometric measurments, such as the abdominal circumference, on a population chart and compare to previous results

• consider if a CTG is indicated (?movement pattern)

• check the amniotic fluid volume

• repeat anatomy scan to check for fetal abnormalities

What is the normal renal output in a 4hr period

• < 100mls over for 4 hrs

• > 100mls over 4 hrs

• > 80 mls over 4 hrs

• >150mls over 4 hrs

Choose all blood tests that are part of a Pre-eclampsia investigation

• FBC

• Electrolytes

• Creatinine

• LFT (inc ASL, ALT)

• Coagulation if ASL, ALT abnormal/ low platelets

Consultation with obstetric team is indicated if a pregnant person's blood pressure is above

The antihypertensive regimen for acute lowering of blood pressure in pregnant women/ people with severe hypertension (dBP ≥110 or sBP ≥160 mmHg) differs from the regimen for chronic management.

• true

• false

The target blood pressure levels for lowering acute severe hypertension (is dBP > or equal 110 or sBP > or equal 160 mmHG)

• >160/100 mmHg

• 140/90 mmHg

• 130-150/80-100 mmHg

• >100/60 mmHg

choose all antihypertensive medication used in pregnancy

• labetalol

• nifedipine

• methyldopa

• Quinapril