Looking for clarity on pregnancy health? Take our free Do I Have Preeclampsia Quiz, a maternal health quiz tailored to test your preeclampsia knowledge and help you understand warning signs. Identify key risk factors, differentiate common discomforts from serious symptoms, and learn simple prevention strategies along the way. Whether you want to uncover "have I got preeclampsia?" or dive into a preeclampsia symptoms quiz to spot early red flags, this interactive challenge is perfect for expectant parents eager to stay informed and confident. Ready to learn more and take control? Jump in now to test what you know and gain peace of mind. Learn about early labor signs or brush up on fun pregnancy facts for a well-rounded journey.
Easy
What is preeclampsia?
A type of maternal nutritional deficiency
A pregnancy-specific hypertensive disorder after 20 weeks with proteinuria or end-organ damage
A bleeding disorder in early pregnancy
A fetal growth restriction syndrome
Preeclampsia is defined by the new onset of hypertension after 20 weeks gestation accompanied by either proteinuria or signs of end-organ dysfunction. It is not a nutritional deficiency, bleeding disorder, or purely a fetal growth issue. Early recognition is key to management and prevention of complications. For more details, see ACOG Practice Bulletin on Preeclampsia.
At what gestational age does preeclampsia typically present?
Before 20 weeks gestation
After 20 weeks gestation
Any time in the postpartum period
During the first trimester
Preeclampsia usually develops after 20 weeks of gestation and may sometimes appear postpartum, but it does not present before 20 weeks. Early-onset hypertension prior to 20 weeks suggests another underlying condition. Recognizing the timing is important for accurate diagnosis. For more information, refer to WHO guidelines on preeclampsia.
Which of the following is a common clinical finding in preeclampsia?
Hypotension
Bradycardia
Polyuria
Hypertension
Elevated blood pressure is the hallmark of preeclampsia, defined as a systolic reading ?140 mm Hg or diastolic ?90 mm Hg on two occasions. Other options like bradycardia, polyuria, and hypotension are not characteristic of this disorder. Monitoring blood pressure is essential for early detection. See Mayo Clinic overview of preeclampsia for more details.
Which organ is commonly affected by end-organ damage in preeclampsia?
Liver
Skin
Thyroid
Pancreas
The liver is frequently involved in preeclampsia, leading to elevated liver enzymes and, in severe cases, HELLP syndrome. Damage to other organs like the pancreas or thyroid is not a defining feature. Early detection of hepatic involvement improves maternal outcomes. More information at NICE guidelines on preeclampsia.
What amount of proteinuria in a 24-hour urine collection is diagnostic for preeclampsia?
?300 mg
?1 g
?150 mg
?500 mg
A 24-hour urine protein excretion of ?300 mg is one of the diagnostic criteria for preeclampsia. Values below this threshold are considered normal or borderline. Although other thresholds may indicate different renal pathologies, 300 mg is the standard cutoff. Refer to ACOG Practice Bulletin on hypertension in pregnancy for details.
Medium
Which of the following is a recognized risk factor for developing preeclampsia?
Low body mass index
Diet high in protein
Advanced maternal age (?35 years)
Multiparity
Advanced maternal age (35 years or older) is a well-established risk factor for preeclampsia, along with obesity and first pregnancies. A low BMI or high-protein diet are not primary risk factors. Recognizing risk factors allows for closer monitoring. For further reading, see NHS guidance on preeclampsia risk factors.
What is the recommended management for mild preeclampsia at 37 weeks gestation?
Expectant outpatient management until 40 weeks
Induction of labor
Observation only with no interventions
Immediate cesarean delivery
Induction of labor is recommended for women with mild preeclampsia at 37 weeks to reduce maternal and fetal risks. Expectant management beyond 37 weeks may increase complications. Immediate cesarean is reserved for obstetric indications. Guidelines from ACOG Practice Bulletin No. 203 outline these recommendations.
Which laboratory value is most indicative of severe preeclampsia?
Platelet count of 200,000/µL
LDH 600 IU/L
ALT 40 IU/L
Creatinine 1.0 mg/dL
An LDH of 600 IU/L suggests hemolysis and endothelial injury, which are features of severe preeclampsia. Normal platelet counts and mild liver enzyme elevations do not meet severe criteria. Renal dysfunction is indicated by creatinine above 1.1 mg/dL. More on severe features is available at ACOG Practice Bulletin on preeclampsia.
Which medication is considered first-line for seizure prophylaxis in women with preeclampsia?
Diazepam
Magnesium sulfate
Phenytoin
Valproic acid
Magnesium sulfate is the standard agent for seizure prophylaxis in preeclampsia and eclampsia. It reduces the risk of progression to eclampsia more effectively than benzodiazepines or antiepileptics. Dosing and monitoring protocols are well established. See WHO recommendations on magnesium sulfate for clinical guidelines.
A urine protein/creatinine ratio of 0.4 mg/mg indicates what?
Significant proteinuria consistent with preeclampsia
No proteinuria
Nephrotic syndrome
Normal renal function
A urine protein/creatinine ratio ?0.3 mg/mg in a spot sample is considered significant proteinuria and meets one diagnostic criterion for preeclampsia. Higher ratios may indicate more severe protein loss. This method is a convenient alternative to 24-hour collections. Refer to NICE protocol on protein/creatinine ratio.
Hard
The pathophysiology of preeclampsia involves abnormal remodeling of which maternal vessels?
Umbilical veins
Spiral arteries
Uterine veins
Ovarian arteries
In preeclampsia, trophoblastic invasion of the maternal spiral arteries is defective, leading to high-resistance uteroplacental circulation. This abnormal remodeling causes placental hypoxia and systemic endothelial dysfunction. Other vessel types are not central to preeclampsia pathogenesis. For an in-depth review, see WHO pathophysiology of preeclampsia.
Endothelial dysfunction in preeclampsia leads to which key change?
Reduced vascular permeability and hypotension
Increased vascular permeability and hypertension
Decreased platelet adhesion
Decreased systemic vascular resistance
Endothelial injury in preeclampsia increases vascular permeability, resulting in protein leakage and edema, and promotes vasoconstriction, causing hypertension. It also contributes to platelet activation and coagulation changes. These features distinguish it from other hypertensive disorders. Read more at ACOG overview of endothelial dysfunction.
Which growth factor is dysregulated in preeclampsia, contributing to endothelial injury?
Fibroblast growth factor
Vascular endothelial growth factor (VEGF)
Epidermal growth factor
Platelet-derived growth factor
VEGF is sequestered by excess soluble fms-like tyrosine kinase-1 (sFlt-1) in preeclampsia, reducing its bioavailability and contributing to endothelial dysfunction. Other growth factors are less directly implicated in this process. Dysregulation of angiogenic balance is a core mechanism in disease onset. See Journal of Clinical Investigation on VEGF in preeclampsia.
In early-onset preeclampsia (<34 weeks), which maternal complication is most prevalent?
Gestational diabetes
Pulmonary edema
Postpartum hemorrhage
Uterine atony
Pulmonary edema is more common in early-onset preeclampsia due to severe endothelial leakage and fluid shifts. While other complications can occur, respiratory involvement is a key life-threatening issue. Management often requires intensive care monitoring. Guidelines at ACOG Practice Bulletin discuss pulmonary complications.
Expert
Alterations in which antiangiogenic factor are strongly associated with preeclampsia development?
Soluble fms-like tyrosine kinase-1 (sFlt-1)
Transforming growth factor-beta (TGF-?)
Placental growth factor (PlGF)
Endoglin
Soluble fms-like tyrosine kinase-1 (sFlt-1) is an antiangiogenic protein that binds VEGF and PlGF, reducing their availability and triggering endothelial dysfunction in preeclampsia. Elevated sFlt-1 levels precede clinical symptoms and are used in advanced predictive testing. This biomarker is central to current research on disease mechanisms. For more, see NEJM review on sFlt-1 in preeclampsia.
0
{"name":"What is preeclampsia?", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Easy, What is preeclampsia?, At what gestational age does preeclampsia typically present?","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
Study Outcomes
Understand common preeclampsia symptoms -
Participants will be able to distinguish symptoms like high blood pressure, proteinuria, and swelling to improve early detection.
Identify major risk factors -
Learners can pinpoint contributors such as first pregnancy, chronic hypertension, obesity, and multiple gestations to raise awareness.
Recognize warning signs -
Participants will recognize critical warning signs that warrant prompt medical attention, enhancing timely maternal care.
Apply prevention strategies -
Individuals will learn actionable prevention tips, including lifestyle adjustments and prenatal recommendations to mitigate risk.
Evaluate quiz performance -
Users can interpret their quiz results to gauge their preeclampsia knowledge and identify areas for further learning.
Enhance maternal health awareness -
Readers will boost their overall understanding of maternal health to make informed decisions throughout pregnancy.
Cheat Sheet
Definition & Diagnostic Criteria -
Preeclampsia is new-onset hypertension (≥140/90 mmHg) after 20 weeks gestation with proteinuria. As per ACOG guidelines, proteinuria is defined by a protein/creatinine ratio ≥0.3 or 24-hour urine protein ≥300 mg. Confirmation requires two elevated BP readings at least 4 hours apart.
Key Warning Signs -
Classic symptoms include severe headache, visual disturbances, and right-upper-quadrant pain, captured by the mnemonic "H-VIP" (Headache, Visual, Increased BP, Proteinuria). If you're taking a preeclampsia symptoms quiz or a maternal health quiz, recognizing these early can prompt urgent evaluation. WHO recommends immediate assessment for any red-flag sign.
Major Risk Factors -
Risk factors like first pregnancy, multiple gestation, chronic hypertension, diabetes, and obesity boost preeclampsia odds. The "TOP GLOBE" mnemonic (Twins/first Pregnancy, Obesity, Genetics, Liver disorders, Others, Blood pressure, Age extremes) helps recall these key risks. NICE and JAMA studies emphasize personalized early risk assessment.
Prevention & Prophylaxis -
Low-dose aspirin (75 - 150 mg daily) starting at 12 - 16 weeks reduces preeclampsia risk by about 60%, as shown in Cochrane reviews. Calcium supplementation in low-intake populations is also recommended by WHO to lower risk. These prevention strategies are integral to maternal health quiz prep and management plans.
Regular Monitoring & Follow-Up -
Consistent BP checks and urine dipstick tests at each prenatal visit are vital to track disease progression and prepare for a "have i got preeclampsia quiz" or to test your preeclampsia knowledge. A simple log sheet with date, BP reading, and protein result empowers patients to participate actively in their care. Per CDC guidelines, high-risk individuals should increase visit frequency to weekly or biweekly.
