OB/GYN

A woman had gestational hypertension during pregnancy.

She delivered 4 weeks ago, and her current blood pressure is 133/88 mmHg. What is the most appropriate next step in management?

  1. A Restrict salt intake and rest
  2. B Prescribe antihypertensive medication if high blood pressure remains الإجابة الصحيحة
  3. C Check blood pressure at the annual follow-up
  4. D didn't recall

الشرح

Core Concept: Postpartum follow-up of hypertensive disorders of pregnancy. Gestational hypertension typically resolves within a few weeks postpartum, but women are at increased risk for developing chronic hypertension later in life.

Clinical Presentation:

  • 4 weeks postpartum, BP 133/88 mmHg (elevated/normal high range, but below the strict threshold for immediate pharmacological treatment, which is usually ≥ 140/90 or ≥ 150/100 depending on guidelines).

Diagnosis:

  • First-line: Accurate blood pressure measurement and monitoring.

Management:

  • Acute/Definitive: A BP of 133/88 does not mandate immediate antihypertensive medication. The appropriate management is close surveillance. If the high blood pressure persists or crosses the hypertensive threshold (≥ 140/90 mmHg) on subsequent checks, prescribing antihypertensive medication is indicated. Strict salt restriction is not routinely recommended, and waiting a full year for an annual check is unsafe; earlier follow-up (e.g., at 7-10 days and then periodically) is required.

40 سؤالاً مجاناً مع حساب

الأسئلة المنشورة هنا عيّنة ثابتة. أنشئ حساباً مجانياً لتتدرب على بنك الأسئلة الكامل، مع تحليل أدائك حسب التخصص وصفحة لمراجعة أخطائك.

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