A 35-year-old woman at 24 weeks of gestation presents to the GP with bilateral pitting oedema of the lower legs. Her blood pressure is 148/94 mmHg. Ur...

Question

A 35-year-old woman at 24 weeks of gestation presents to the GP with bilateral pitting oedema of the lower legs. Her blood pressure is 148/94 mmHg. Urinalysis shows 1+ protein. Her previous readings have been normal. A spot urine protein:creatinine ratio is 28 mg/mmol. How should this proteinuria result be interpreted in the context of suspected pre-eclampsia?

Accepted Answer

Not significant - PCR

Answer

Significant proteinuria - confirms pre-eclampsia

Answer

Repeat the dipstick in 1 week before acting on the result

Answer

A 24-hour urine collection is essential before diagnosing pre-eclampsia

Answer

Proteinuria levels in pregnancy are unreliable and should not be used

uk-drcog MCQ (SBA): Urine PCR Threshold for Pre-eclampsia