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Gestational hypertension — DRCOG MCQ

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ModerateAntenatal CareGestational hypertensionDRCOG

A 33-year-old woman at 28 weeks' gestation has a clinic blood pressure of 146/94 mmHg. Urine dipstick is negative, she has no symptoms and fetal movements are normal. Previous booking blood pressure was 118/70 mmHg. What is the most appropriate management?

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

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Correct answer: D — Arrange prompt maternity assessment for gestational hypertension

New hypertension after 20 weeks is gestational hypertension unless proteinuria or other features suggest pre-eclampsia, and it needs maternity assessment and surveillance. Absence of proteinuria does not make the finding benign. The pearl is that gestational hypertension can progress, so the diagnosis changes the follow-up pathway.

Reference: NICE NG133