Pre-HO course O&G Q10. What is mean by eclampsia ?

• Severe hypertension with seizure

Hypertension in pregnancy
Q11. In what severity does anti-hypertensive
Q1. State 5 risk factor
medication is a must in PIH ?
• Teenage pregnancy
• Moderate severity
• Primigravida
• Past medical hx: Pregnancy induce Q12. What are the treatment of choice for
hypertension, eclampsia severe hypertension in PIH [Impending
• Family hx: Hypertension eclampsia]
• Advance maternal age • Oral nifedipine [CCB] + IV Hydralazine +IV
• Twin/ Multiple pregnancy Labetalol

Q2. What is mean by pregnancy induce Q13. What is the best anti-hypertensive for mild
hypertension [gestational hypertension] & moderate severity in 1st trimester ?
• BP > 140/90 after 22 weeks of pregnancy • Methyldopa [250mg tds  500 mg tds  1 g
tds]
Q3. What is mean by pre-existing hypertension
?
Q14. What is the best anti-hypertensive for mild
• BP > 140/90 before 22 weeks of pregnancy
& moderate severity in 2nd trimester ?
Q4. Outline severity of PIH based on BP • Labetalol [100 mg tds  300 mg tds]
• Mild – 140/90 mmHg
Q15. What is the best anti-hypertensive for mild
• Moderate – 150/90 mmHg
& moderate severity in 3rd trimester ?
• Severe – 160/100 – 110 mmHg
• Nifedipine [10 mg tds]
• Very severe – 170/110 mmHg

Q5. What is the most important placental

complication in PIH ?
• Placenta insufficiency

Q6. What are the common complication for PIH

?
• Pre-eclampsia [PE]
• Impending eclampsia [severe pre-eclampsia]

Q7. What is the initial investigation for PE ?

• Urine dipstick – Urine protein 2+

Q8. What are the signs of Impending eclampsia

?
• Bilateral leg edema
• Brisk reflex [increase]

Q9. What are the symptoms of Impending

eclampsia ?
• Blurry vision
• Epigastric pain
• Frontal headache
Magnesium sulphate [MgS04]

What need to assess after administering MgS04

?
• Hourly monitoring
• Reflex []
•  Urine output [0.5ml/kg/hr]
• Respiratory rate

Why does urine output reduce in pregnancy ?

• Pulmonary edema

What is the next management if urine output

reduce while administering MgSO4 ?
• Stop MgSO4
• IV fluid therapy

Regarding MgSO4 toxicity

a) What is the 1st sign ?
• Loss of deep tendon reflex

b) What is the 2nd sign ?

• Respiratory distress

c) What is the 3rd sign ?

• Cardiac arrest

State 3 function of MgSO4

• Prevent & treat eclampsia
• Neuroprotection for Preterm baby < 32 weeks
• Weak tocolytic agent
Diabetic in pregnancy