Hypertension in Pregnancy, Multifetal Gestation, & Fetal Growth Abnormalities

A detailed illustration of a pregnant woman in a medical setting surrounded by medical charts, highlighting hypertension and fetal health issues.

Hypertension & Pregnancy Knowledge Quiz

Test your knowledge on hypertension in pregnancy, multifetal gestation, and fetal growth abnormalities with this challenging quiz. Designed for healthcare professionals, students, and anyone interested in maternal-fetal health, this quiz evaluates your understanding of critical conditions and their management.

Key Features:

  • 9 thought-provoking questions
  • Multiple choice and checkbox formats
  • Instant feedback on your answers
9 Questions2 MinutesCreated by EducatingMother92
A 17 year old patient G1 P0 is admitted at 37 weeks gestation with mild contractions, new onset headache, BP 150-175/90-105, DTR’s 3+, and 2+ proteinuria. She had received adequate prenatal care without complication. She has no history of medical or surgical problems. Her only medication is prenatal vitamins. The primary pathophysiologic finding in this patient’s condition is:
A. Increased cardiac output
B. Renal microthrombosis
C. Maternal vasospasm
D. Decreased placental vascular tone
This patient’s hematocrit will likely show what change over her routine hematocrit done at 28-32 weeks of pregnancy?
A. decreased
B. increased
C. No change
She is begun on magnesium sulfate intravenously. The therapeutic goal(s) of magnesium sulfate are: (Circle all that apply)
A. Blood pressure control
B. Maintenance of renal blood flow and urine output
C. Convulsion prophylaxis
Management of this patient will include controlling diastolic blood pressure to which of the following ranges:
a. 60-80
B. 80-90
C. 90-100
D. 100-110
A 37 year old G4 P2012 presents for prenatal care at 13 weeks gestation. Her blood pressure is 135/92. She reports having taken a pill for blood pressure last year, which she discontinued due to lack of funds. She has no proteinuria. Her last child was born at term, and weighed 5 lbs, 12 ounces. She has no other medical or surgical problems and takes no medication. Which of the following is the most appropriate management of this patient?
A. Begin anti-hypertensive therapy now to prevent maternal stroke
B. Begin anti-hypertensive therapy now to lower the risk of intrauterine growth retardation
C. Begin anti-hypertensive therapy only if SBP rises above 150, or DBP above 100, to prevent maternal stroke
D. Begin anti-hypertensive therapy only if SBP rises above 150, or DBP above 100, to lower the risk of intrauterine growth retardation
A 32 year old woman and her partner with unexplained infertility are discussing the option of IVF. When told of the risk of multifetal gestation, the patient and her partner state that “that’s fine; we’d like to have both kids at once anyway.” They should be informed that the most significant cause of morbidity in multifetal gestation is:
A. Twin-twin transfusion syndrome
B. Pre-eclampsia
C. Gestational diabetes
D. Pre-term delivery
E. Intrauterine growth restriction
A 37 year old woman G1P0 undergoes induction of labor for worsening IUGR, delivering a 3 lb growth restricted infant at 35 weeks gestation. The patient smokes one pack of cigarettes daily and exhibited elevated blood pressures throughout the pregnancy – 120-140/85-100. In comparison to a normally developing fetus at the same gestational age, the pre-induction ultrasound evaluation of this fetus likely showed which of the following: (Circle all that apply)
A. Increased systolic/diastolic ratio in the umbilical artery
B. Decreased systolic/diastolic ratio in the umbilical artery
C. Increased fetal middle cerebral artery mean blood flow
D. Decreased fetal middle cerebral artery mean blood flow
Neonatal laboratory values for this infant are at greater risk of demonstrating: (Circle all that apply)
A. Decreased hematocrit
B. Increased hematocrit
C. hyperglycemia
D. hypoglycemia
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