Definitions
This cut-off defines elevated BP in pregnancy.
What is 140/90?
This serum lab abnormality is caused by the impact of severe pre-eclampsia on the maternal kidneys.
What is elevated serum creatinine?
These two sociodemographic risk factors are associated with increased risk of pre-eclampsia.
What are experiencing racism (being a person of color) & financial instability (lower income)?
These serum labs are needed to rule out HELLP syndrome.
What are H/H, platelets, LFTs?
This lifestyle (non-medication) intervention is recommended for patients with chronic hypertension with the goal of pre-campsia prevention.
What is regular exercise?
This diagnosis is defined as blood pressure >140/90, on two occasions, after 20 weeks, without proteinuria.
What is Gestational Hypertension?
These symptoms demonstrate the impact of pre-eclampsia on the central nervous system.
What headache, visual changes, seizures or stroke?
ACOG recommends starting preventative medication for pre-eclampsia if this many moderate risk factors are present.
What is two?
This defines abnormal platelets for a person with hypertension.
What is <100?
This is the gestational age that you recommend induction of labor for a patient with gestational hypertension.
What is 37 weeks?
A person who has elevated blood pressures in the first trimester of pregnancy has this diagnosis.
A person with severe pre-eclampsia and shortness of breath is most likely experiencing this complication.
What is pulmonary edema?
This inter-pregnancy interval is associated with increased risk for pre-eclampsia
This is how elevated liver enzymes (AST/ ALT) must be in order to qualify as a feature of severe pre-eclampsia.
What is twice the upper limit?
This is the gestational age that you recommend induction of labor for a patient with pre-eclampsia without severe features.
What is 37 weeks?
In order to have pre-eclampsia without severe features, a person must have proteinuria of at least this amount on a urine protein:creatinine ratio.
What is 0.3?
Pre-eclampsia is likely caused by abnormal remodeling of this feature of the placenta.
What are spiral arteries?
Multifetal gestation is considered this type of risk factor for pre-eclampsia (low, moderate, high)
You would determine that a client has renal insufficiency related to pre-eclampsia based on this value.
What is creatinine >1.1?
When discharging a postpartum patient with gestational hypertension, you plan to see her again in clinic within this time frame.
What is 7-10 days?
To diagnose pre-eclampsia with severe features, a person must have severe range BPs, serum abnormalities, or ____.
What are symptoms (Headache, visual changes, epigastric pain)?
Abnormal deep tendon reflexes in a patient with preeclampsia indicate this.
What is irritability of the CNS (increased risk of seizures)?
This medication & dose are recommended for pre-eclampsia prevention in high risk people, at this gestational age.
What is Aspirin 81mg QD starting at 12 weeks
This lab value demonstrates hemolysis of red blood cells caused by HELLP syndrome.
What is LDH >600?
At this gestational age you recommend induction of labor for a patient with pre-eclampsia with severe features.
What is 34 weeks?