A 27-year primigravida presents with pregnancy induced hypeension with blood pressure of 140/ 100 mm of Hg at 32 weeks of gestation. If there are no complications, the pregnancy should be best terminated at:
Correct Answer: 37 completed weeks
Description: A diagnosis of gestational hypeension is made when (1) maternal blood pressure is elevated to >= 140 mm Hg systolic or >= 90 mm Hg diastolic on 2 occasions 6 hours apa in a previously normotensive woman >= 20 weeks' gestation, and (2) there is no evidence of proteinuria. For the patient with mild gestational hypeension, fetal surveillance with ultrasound for fetal growth approximately once per month and weekly biophysical profiles can assess fetal well-being. Antihypeensives are not recommended in women with mild gestational hypeension, as they have not been shown to improve outcomes. Delivery is recommended at 39-40 weeks' gestation. Ref: Miller D.A. (2013). Chapter 26. Hypeension in Pregnancy. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now