According to ACOG criteria, which of the following blood pressure measurements qualifies as a severe feature in a patient with pre-eclampsia?
- A Systolic BP ≥140 mmHg or diastolic ≥90 mmHg on two occasions
- B Systolic BP ≥150 mmHg or diastolic ≥100 mmHg on two occasions
- C Systolic BP ≥160 mmHg or diastolic ≥110 mmHg on two occasions at least 4 hours apart ✓
- D Systolic BP ≥170 mmHg or diastolic ≥115 mmHg on a single measurement
Correct answer: C. Systolic BP ≥160 mmHg or diastolic ≥110 mmHg on two occasions at least 4 hours apart
Explanation
ACOG defines severe hypertension in pre-eclampsia as systolic BP ≥160 mmHg or diastolic ≥110 mmHg, confirmed on two occasions at least 4 hours apart (or once if antihypertensive therapy is initiated). Option A defines pre-eclampsia hypertension threshold. Option B does not correspond to any standard cutoff. Option D's threshold and single-measurement requirement are incorrect per ACOG.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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