Postnatal hypertension — DRCOG MCQ
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Correct answer: B — Check urine protein and arrange same-day clinical review
The best answer is “Check urine protein and arrange same-day clinical review”. Check urine protein and arrange same-day clinical review is the best answer because the vignette is testing Postnatal hypertension and the recommended approach is consistent with NICE NG133. The other advice would give incomplete safety-netting, miss a contraindication, or use guidance intended for a different clinical setting. Specifically, Consider safer non-oestrogen contraception, Use condoms until follow-up is complete, Attend cervical screening when invited, Use venous thromboembolism precautions when travelling would be suboptimal in this scenario. Good advice includes both the guideline recommendation and clear safety-netting. UK prevention and management depend on the exact risk profile and gestation. High-risk patients, or those with more than one moderate-risk factor, should take prescribed aspirin 75–150 mg daily from 12 weeks until birth. Severe symptoms or postpartum hypertension require urgent assessment because pre-eclampsia can first present or deteriorate after delivery.
Reference: NICE NG133: Hypertension in pregnancy: https://www.nice.org.uk/guidance/ng133/chapter/recommendations