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Hypertension in pregnancy — GPhC CRA MCQ

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EasyCardiovascular TherapeuticsHypertension in pregnancyGPhC CRA

A 34-year-old woman at 28 weeks' gestation has persistent clinic BP around 150/96mmHg. Her obstetric team asks the pharmacy which oral antihypertensive is generally used first line in pregnancy where suitable. What is the most appropriate alternative?

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

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Correct answer: C — Labetalol

Labetalol is commonly used first line for hypertension in pregnancy where it is suitable. ACE inhibitors and ARBs are avoided in pregnancy because of fetal risk. The final choice should account for asthma, heart block and other patient-specific factors.

Reference: NICE CKS; BNF