A 26-year-old primigravida attends the GP surgery at 28 weeks of gestation for a routine appointment. Her blood pressure is 148/96 mmHg on two reading...

Question

A 26-year-old primigravida attends the GP surgery at 28 weeks of gestation for a routine appointment. Her blood pressure is 148/96 mmHg on two readings taken 15 minutes apart. She has no symptoms and urinalysis shows no proteinuria. What is the single most appropriate next step?

Accepted Answer

Request urgent pre-eclampsia bloods and same-day obstetric review

Answer

Reassure and recheck in 1 week

Answer

Commence labetalol 100 mg twice daily and refer to day assessment unit

Answer

Commence methyldopa 250 mg three times daily

Answer

Admit immediately for induction of labour

uk-drcog MCQ (SBA): Gestational Hypertension

A 26-year-old primigravida attends the GP surgery at 28 weeks of gestation for a routine appointment. Her blood pressure is 148/96 mmHg on two readings taken 15 minutes apart. She has no symptoms and urinalysis shows no proteinuria. What is the single most appropriate next step?