Antepartum care (first trimester) Quiz: Ace Your Exams
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A 35-year-old woman, gravida 2 para 1, at 12 weeks of gestation, presents to her obstetrician for her first prenatal visit. She has a history of chronic hypertension, diagnosed five years ago, that was managed with lisinopril, which was switched to labetalol prior to conception. She reports no headaches, visual changes, or abdominal pain. Her previous pregnancy, three years ago, was uncomplicated and resulted in a vaginal delivery at term. She takes a daily prenatal vitamin. Blood pressure today is 122/76 mmHg and pulse is 72/min. BMI is 24.9 kg/m2. Physical examination, including pelvic exam, is unremarkable. The first trimester ultrasound confirms a single intrauterine pregnancy. Fetal heart rate is 142/min. Which of the following is the most appropriate management of hypertension in this patient?
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