A 33-year-old gravida 2 para 1 at 38 weeks has blood pressure 150/94 mm Hg twice 4 hours apart. She has no headache, visual symptoms, proteinuria,

Question

A 33-year-old gravida 2 para 1 at 38 weeks has blood pressure 150/94 mm Hg twice 4 hours apart. She has no headache, visual symptoms, proteinuria, thrombocytopenia, or elevated creatinine. Fetal testing is reassuring. Which of the following is the most appropriate next step in management?

Accepted Answer

Recommend delivery

Answer

Treat with magnesium sulfate for 6 weeks

Answer

Continue pregnancy until 42 weeks

Answer

Start methotrexate

Answer

Order hysterectomy

Gestational hypertension term — USMLE Step 3 MCQ

A 33-year-old gravida 2 para 1 at 38 weeks has blood pressure 150/94 mm Hg twice 4 hours apart. She has no headache, visual symptoms, proteinuria, thrombocytopenia, or elevated creatinine. Fetal testing is reassuring. Which of the following is the most appropriate next step in management?