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Preeclampsia prevention — ABFM Board MCQ

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HardWomen's health/OB/GYNPreeclampsia preventionABFM Board

A 31-year-old pregnant woman at 18 weeks has chronic hypertension, BMI 37 kg/m², and a prior pregnancy complicated by preeclampsia. Blood pressure today is 136/84 mm Hg. Which of the following would you advise this patient?

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

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Correct answer: B — Begin low-dose aspirin 81 mg daily if not already started

Low-dose aspirin is recommended for pregnant patients at high risk of preeclampsia and is initiated between 12 and 28 weeks, optimally before 16 weeks. Prior preeclampsia and chronic hypertension are high-risk factors.

Reference: ACOG/SMFM Low-Dose Aspirin for Prevention of Preeclampsia Practice Advisory