Question 1

A 25 years old primigravida woman at her 37th week of pregnancy has edema, proteinuria and raised BP. What is your probable diagnosis?

Accepted Answer

Impending eclampsia
Impending eclampsia is condition in which the onset of preeclampsia is often acute. There is a constant threat of either convulsion or coma. Management of impending eclampsia includes:
1. Reduction of BP
2. Diuresis
3. Hospitalization
4. Complete bed rest

Question 2

Examination revealed a 28 years old 2nd gravida woman had developed impending eclampsia. How will you manage her?

Accepted Answer

Reduction of BP and B - Diuresis
Eclampsia is a serious complication of pregnancy in which a woman has high blood pressure and very rapid weight gain. Most women with preeclampsia do not go on to have eclampsia. It is hard to predict which women will proceed to eclampsia, but medical intervention is necessary to prevent advancement to eclampsia.
Management of impending eclampsia includes:
1. Reduction of BP
2. Diuresis
3. Hospitalization
4. Complete bedrest

Question 3

A primigravida presented at 37th week of her pregnancy with a convulsion. Which of the following is a probable cause of her convulsion?

Accepted Answer

All o the above
Convulsion is a change in the brain's electrical activity. This can cause dramatic, noticeable symptoms or even no symptoms at all. The symptoms of a severe convulsion are often widely recognized, including violent shaking and loss of control. However, mild seizures can also be a sign of a significant medical problem, so recognizing them is important.
Causes of convulsion during pregnancy include:
1. Eclampsia
2. Epilepsy
3. Poisoning
4. Encephalitis
5. Meningitis

Question 4

A woman (36 weeks pregnant) presented with raised BP associated with convulsion and coma. Which of the following is the probable maternal complication?

Accepted Answer

Pulmonary edema
This is a case of eclampsia. Eclampsia can follow a pregnancy complication called preeclampsia. Eclampsia is a complication of pregnancy in which a woman has high blood pressure and very rapid weight gain. Most women with preeclampsia do not go on to have eclampsia - induced seizures.
Maternal complications of eclampsia include:
1. Pulmonary edema
2. Pneumonia
3. Renal failure
4. Sepsis
5. Hepatic necrosis

Question 5

A primigravida (at 36 weeks of pregnancy) presents with a convulsion. Her blood pressure (BP) is elevated. How will you manage her?

Accepted Answer

All of the above
This is a case of eclampsia. Eclampsia can follow a condition called preeclampsia. This is a serious complication of pregnancy in which a woman has high blood pressure and very rapid weight gain. Most women with preeclampsia do not go on to have eclampsia. It is hard to predict which women will go on to have eclamptic - related seizures. Women at high risk of eclampsia - related seizures have usually had severe preeclampsia with findings such as abnormal blood tests, headaches, very high blood pressure, and vision changes.
Management of eclampsia includes:
1. Oxygen inhalation
2. I.V. fluids
3. Left lateral position
4. Catheterization
5. Antibiotics

Quiz 5: Prenatal

A 25 years old primigravida woman at her 37th week of pregnancy has edema, proteinuria and raised BP. What is your probable diagnosis?

Examination revealed a 28 years old 2nd gravida woman had developed impending eclampsia. How will you manage her?

A primigravida presented at 37th week of her pregnancy with a convulsion. Which of the following is a probable cause of her convulsion?

A woman (36 weeks pregnant) presented with raised BP associated with convulsion and coma. Which of the following is the probable maternal complication?

A primigravida (at 36 weeks of pregnancy) presents with a convulsion. Her blood pressure (BP) is elevated. How will you manage her?