Complications of Pregnancy · NEET PG Preparation Obstetrics & Gynaecology

A 30-year-old primigravida at 28 weeks of gestation is found to have a blood pressure of 140/90 mmHg on two occasions 6 hours apart. Her baseline blo…

Practice question from Complications of Pregnancy (NEET PG Preparation Obstetrics & Gynaecology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-EB0254

A 30-year-old primigravida at 28 weeks of gestation is found to have a blood pressure of 140/90 mmHg on two occasions 6 hours apart. Her baseline blood pressure in the first trimester was 110/70 mmHg. Urine dipstick for protein is negative. She has no headache, visual disturbances, or epigastric pain. What is the most appropriate diagnosis?

  1. A.Chronic hypertension
  2. B.Gestational hypertensionCorrect answer
  3. C.Mild preeclampsia
  4. D.Superimposed preeclampsia

Solution

Gestational hypertension is defined as new-onset elevated blood pressure (>=140/90 mmHg) after 20 weeks of gestation in a previously normotensive woman, in the absence of proteinuria or other features of end-organ damage (which would classify it as preeclampsia).

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