A primigravida at 28 weeks has BP of 150/100 mmHg on two readings 4 hours apart. Repeat dipstick testing shows trace protein, and a 24-hour urine collection shows 250 mg of protein. She has no symptoms and normal platelets, liver enzymes, and creatinine. What is the diagnosis?

• A Pre-eclampsia
• B Gestational hypertension ✓
• C Pre-eclampsia with severe features
• D Chronic hypertension

Explanation

Proteinuria requires more than 300 mg in 24 hours, a protein/creatinine ratio above 0.3, or persistent 1+ or greater dipstick only if quantitative methods are unavailable. Her 250 mg value falls below this threshold, so she does not have pre-eclampsia despite the BP level. New-onset hypertension after 20 weeks without proteinuria or severe features defines gestational hypertension.

Reference: Williams Obstetrics, 26th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.