Quiz:
What is the primary concern in the management of a pregnant patient with SLE? a) Maternal diabetes
b) Fetal growth restriction
c) Maternal hypertension
d) Fetal genetic disorders
Which test is recommended between 16 and 24 weeks of gestation for women with positive anti-Ro/SSA antibodies? a) Non-stress test (NST)
b) Fetal echocardiography
c) Amniocentesis
d) Ultrasound for fetal growth
What is the first-line treatment for a pregnant woman experiencing an SLE flare? a) Cyclophosphamide
b) Hydroxychloroquine
c) Prednisone
d) Methotrexate
For patients with antiphospholipid syndrome, which of the following medications is commonly prescribed during pregnancy? a) Methotrexate
b) Low-dose aspirin and/or low-molecular-weight heparin
c) Calcium supplements
d) High-dose corticosteroids
Which of the following is an important complication associated with SLE during pregnancy? a) Preterm labor
b) Hyperemesis gravidarum
c) Placenta previa
d) Gestational hypertension
In which condition should lupus nephritis be specifically monitored during pregnancy? a) Systemic sclerosis
b) Rheumatoid arthritis
c) Systemic lupus erythematosus
d) Psoriatic arthritis
What is the recommended gestational age for delivery in a well-controlled pregnancy with SLE? a) 34 weeks
b) 36 weeks
c) 38 weeks
d) 40 weeks
Why is fetal echocardiography recommended in SLE pregnancies? a) To assess for cardiac anomalies in the fetus
b) To monitor for congenital heart block in the fetus
c) To evaluate amniotic fluid levels
d) To check for fetal anemia
What is a key feature of antiphospholipid syndrome in pregnancy? a) Increased risk of miscarriage and thrombosis
b) Increased risk of gestational diabetes
c) Decreased risk of preeclampsia
d) Decreased risk of preterm labor
What is the potential risk for a pregnant patient with lupus regarding anticoagulation therapy? a) Increased risk of anemia
b) Increased risk of postpartum hemorrhage
c) Increased risk of thromboembolism
d) Increased risk of gestational hypertension