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MS WordPerinatologist Corner - C.E.U/C.M.E. Modules
Hypertension in Pregnancy
Sponsored by The Indian Health Service Clinical Support Center
Part 1: Mild Pre-Eclampsia
2. Case Scenarios
Scenario #1
Ada Yellow Hawk is a 39 y/o G12P9 at 38 weeks gestation who has had an uneventful pregnancy and who is very happy to be having a child with her new partner. She hasn't been able to keep a lot of prenatal visits and now presents in active labor. You find a BP of 148/98, 2+ proteinuria, 1+ edema, and 3+ DTRs. What constitutes appropriate management and counseling of this patient?
Scenario #2
Rae Lynn Aquino is a 22 y/o G2P0 who presents in labor at 40 weeks with a BP of 133/86, trace proteinuria, and 2+ pedal edema. What constitutes appropriate management and counseling of this patient?
Scenario #3
Angie Igaruk is a 17 y/o G1P0 at 37 weeks 4 days by her LMP and an early ultrasound. She presents to your level I facility that offers obstetric services in a heavy snowstorm complaining of uterine contractions. She denies headache or visual changes. Her prenatal course to date has been uneventful. Examination reveals a BP of 154/94, 1+ proteinuria, 2+ edema, 3+ DTRs. What constitutes appropriate management and counseling of this patient?
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