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Hypertensive Disorders

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

a. 1 in 2

b. 1 in 6

c. 1 in 10

d. 1 in 20

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?

a. Preeclampsia

b. Chronic hypertension

c. Gestational hypertension

d. Superimposed preeclampsia

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?

a. Eclampsia

b. Placental abruption

c. Nonreassuring fetal heart rate tracing

d. None of the above

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?

a. Creatinine 1.14 mg/dL

b. Platelet count 103,000/µL

c. Alkaline phosphatase 138 IU/L

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

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?

a. Increased volume of chorionic villi

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