A 35-year-old woman at 37 weeks' gestation has blood pressure 148/94 mm Hg on two readings and urine protein-creatinine ratio 0.4. Platelets,

Question

A 35-year-old woman at 37 weeks' gestation has blood pressure 148/94 mm Hg on two readings and urine protein-creatinine ratio 0.4. Platelets, creatinine, AST, and ALT are normal; fetal testing is reassuring. Which of the following is the most appropriate next step in management?

Accepted Answer

Proceed with delivery planning at this gestational age

Answer

Give magnesium sulfate as outpatient monotherapy

Answer

Start ACE inhibitor therapy during pregnancy

Answer

Perform emergent cesarean delivery for every patient

Answer

Continue pregnancy until 41 weeks without surveillance

Preeclampsia without severe features — USMLE Step 3 MCQ

A 35-year-old woman at 37 weeks' gestation has blood pressure 148/94 mm Hg on two readings and urine protein-creatinine ratio 0.4. Platelets, creatinine, AST, and ALT are normal; fetal testing is reassuring. Which of the following is the most appropriate next step in management?