Obstetrics & Gynaecology · Hypertensive Disorders in Pregnancy (Pre-eclampsia, Eclampsia)

A woman is diagnosed as having hypertension when her blood pressure is first recorded at 7 weeks of gestation during an antenatal visit. According to standard definitions used in Williams Obstetrics, hypertension in pregnancy is defined as a systolic BP of:

  • A 120 mmHg or more
  • B 130 mmHg or more
  • C 140 mmHg or more
  • D 160 mmHg or more
Correct answer: C. 140 mmHg or more

Explanation

Hypertension in pregnancy is defined as systolic BP of 140 mmHg or more, or diastolic BP of 90 mmHg or more, confirmed on two occasions at least 4 hours apart after 20 weeks, or present before 20 weeks for chronic hypertension. The 130/80 threshold applies to chronic hypertension classification outside pregnancy per ACC/AHA but is not the classic obstetric definition tested here.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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