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Hypertensive Disorders

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What proportion of maternal deaths can be attributed to hypertensive disorders in pregnancy?

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a. 1 in 2

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b. 1 in 6

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c. 1 in 10

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d. 1 in 20

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A patient has a blood pressure of 110/72 mm Hg on her first prenatal visit at 8 weeks’ gestation. She develops hypertension in the third trimester, and at delivery, her blood pressure is 148/94 mm Hg. Urine protein by dipstick is trace, her creatinine level is 0.76 mg/dL, and her hypertension has resolved by the time of her hospital discharge. What is her correct diagnosis?

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a. Preeclampsia

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b. Chronic hypertension

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c. Gestational hypertension

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d. Superimposed preeclampsia

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A patient with antepartum baseline blood pressure measurements of 90/65 mm Hg has blood pressures of 130–140/80–86 mm Hg at delivery. She has an increased risk of which of the following obstetric complications?

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a. Eclampsia

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b. Placental abruption

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c. Nonreassuring fetal heart rate tracing

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d. None of the above

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A multiparous patient who has received no prenatal care presents to Labor and Delivery with a complaint of vaginal bleeding. Her fundal height is 24 cm. Which of the following laboratory tests supports the diagnosis of preeclampsia?

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a. Creatinine 1.14 mg/dL

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b. Platelet count 103,000/µL

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c. Alkaline phosphatase 138 IU/L

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d. Total protein of 258 mg in a 24-hour urine collection

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A multiparous patient who has received no prenatal care presents to Labor and Delivery with a complaint of vaginal bleeding. Her fundal height is 24 cm, a sonographic examination is performed to estimate gestational age. One image is shown below. Which of the following may explain the development of preeclampsia in this patient?

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a. Increased volume of chorionic villi

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