Question

A 28-year-old at 28 weeks' gestation with chronic hypertension has clinic BP 146/92 mm Hg on no therapy. Fetal testing is reassuring. What is the best next step?

Accepted Answer

Deliver at 34 weeks

Answer

Observe; initiate therapy only if BP >=160/110 mm Hg

Answer

Start aspirin 325 mg daily for treatment

Answer

Start labetalol to treat to a target <140/90 mm Hg

Answer

Start ACE inhibitor for renal protection

Practice question

A 28-year-old at 28 weeks' gestation with chronic hypertension has clinic BP 146/92 mm Hg on no therapy. Fetal testing is reassuring. What is the best next step?