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WorksheetsPre-ecclampsia, Ecclampsia, and HELLP Syndrome
Total questions: 10
Worksheet time: 8mins
Px S is a 25 year old, G2P1 (1001), 35 2/7 weeks AOG, presenting in labor. Her vital signs are as follows: PR-96; RR-18; BP-180/100MMHG; TEMP- 36.8.
You have ordered liver function tests, a CBC, and urinalysis, awaiting its results. What is your next step in managing this patient?
A. Prescribe MgSO4 IV
B. Prescribe and administer Captopril 25mg PO
C. Prescribe and administer Hydralazine 5mg IV/IM
D. A and B
C. A and C
You are assessing patient Z for the severe features seen in pre-eclampsia. The following are all severe features, except:
Massive proteinuria
Thrombocytopenia
Elevated AST/ALT of 2x the normal
Pulmonary edema
Cerebral or visual symptoms
Px X is a 29 year old, G3P2 (2002), 37 5/7 week AOG, PU, presenting in labor. She has a BP of 160/90 and a urinalysis with a +1 protein. Her CBC reveals a platelrt count of 120,000, an AST of 54, ALT of 42, and LDH of 600. Classify this patient according to the Mississipi HELLP classification
Class I
Class II
Class III
Complete pre-eclampsia
Incomplete pre-eclampsia
Px Y is a 26 year old G2P1 (1001), PU, in labor, 34 2/7 weeks AOG, presenting with a blood prrssure of 160/90, +1 protein in the urine, a decreased hemoglobin, an ALT of 80 and LDH of 650. What is the cornerstone of management in patients with this patient's case?
Delivery if maternal or fetal status are unstable
Administering dexamethasone to promote fetal lung maturing
Halting the progression of labor until the fetus is term
Performing a plasma exchange/ plasmapheresis
Administer antihypertensives and anticonvulsants if patient or fetus are unstable
In the management of gestational HPN, the goal of antihypertensive therapy is to normalize blood pressure.
True
False
Antihypertensives in gestational hypertensipm should be given in moderate to high doses in order to avoid hypertensive crisis postpartum.
True
False
Patient Aura, 30, G1P0, 18 weeks AOG came to your clinic because she was referred by the health center for having BP 130-150/90-100mmHg during her prenatal check-ups. She claims to feel fine and has no symptoms. You explain to her that her elevated BP indicates:
Pre hypertension
Chronic hypertension
Pre-eclampsia
Eclampsia
What is the drug classification for propanolol, metoprolol, and labetalol?
CCB
ACE Inhibitora
Alpha-2-adrenergic receptor agonist
Peripherally actinf Beta Blockers
Which of the following are not recommended during pregnancy?
ACE Inhibitors amd ARB's
Calcium channel blockers and diuretics
Beta blockers and vasodilators
Diuretics and beta blockers
Which of the following drugs potentiate the action of magnesium sulfate?
Calcium channel blockers
Alpha-2-adrenergic receptor agonist
Hydralazine
ACE Inhibitors
