skip to main content

Severe hypertension in pregnancy safety — USMLE Step 3 MCQ

Instant feedback + full explanation. One question, done properly.

HardOB/GYN (prenatal care, contraception, screening)Severe hypertension in pregnancy safetyUSMLE Step 3

A clinic audit finds that pregnant patients with severe-range blood pressures sometimes wait more than 90 minutes for antihypertensive therapy because nurses must call multiple clinicians. One patient had an eclamptic seizure. Which of the following is the most appropriate quality improvement measure?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Create a severe hypertension in pregnancy protocol with standing orders and rapid escalation

Severe hypertension in pregnancy is time-sensitive; protocols with standing orders and escalation pathways reduce delays and morbidity.

Reference: ACOG severe hypertension in pregnancy safety bundle; AHRQ quality improvement principles