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Hypertension in pregnancy — GPhC CRA MCQ

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ModerateCardiovascular TherapeuticsHypertension in pregnancyGPhC CRA

A woman who is 16 weeks pregnant brings a repeat prescription for ramipril 5 mg daily. She says the pregnancy was confirmed yesterday. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: A — Labetalol after urgent prescriber review

ACE inhibitors should be avoided in pregnancy and an appropriate pregnancy-compatible antihypertensive is needed. The best answer addresses the key safety, legal or pharmaceutical care issue in the vignette. The other options would either delay appropriate care, create a new risk, or fail to resolve the issue. This is consistent with the cited UK reference for safe pharmacy practice.

Reference: BNF; NICE CKS