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Preeclampsia without severe features — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Preeclampsia without severe featuresUSMLE Step 3

A 31-year-old primigravid woman at 37 weeks' gestation has blood pressure 146/92 mm Hg on two readings and urine protein-creatinine ratio 0.4. Platelets, creatinine, AST, and ALT are normal. She has no headache, visual symptoms, right upper quadrant pain, or dyspnea. Which of the following is the most appropriate next step in management?

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

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Correct answer: A — Proceed with delivery planning

Preeclampsia at 37 weeks warrants delivery rather than expectant management.

Reference: ACOG hypertension in pregnancy guidance: https://www.acog.org/