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Gestational hypertension — MCCQE Part 1 MCQ

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ModerateHypertensionGestational hypertensionMCCQE Part 1

A 33-year-old G1P0 at 30 weeks has BP 145/92 on two occasions 4h apart. No proteinuria, no symptoms. Normal labs. Normal BP before 20 weeks. Most appropriate management?

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Correct answer: D — Initiate antihypertensive (labetalol or nifedipine) and close outpatient surveillance

Gestational hypertension: antihypertensive therapy to maintain BP <140/90. Close surveillance: weekly BP, serial bloods, urinalysis. Delivery not indicated at 30 weeks without severe features.

Reference: SOGC Hypertensive Disorders