Chronic hypertension in pregnancy Quiz: Ace Your Exams
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A 28-year-old woman, gravida 1 para 0, presents for a routine antenatal appointment at 23 weeks of gestation. She has no loss of fluid or vaginal bleeding and has been feeling regular fetal movement over the past 2 weeks. Her pregnancy is notable for a blood pressure of 150/105 mmHg at her initial appointment at 8 weeks of gestation, and a BP of 126/90 at her last appointment 4 weeks ago. A chart review shows that her past medical history is significant for dysmenorrhea secondary to endometriosis. Temperature is 36.7°C (98.0°F), pulse is 88/min, respirations are 18/min, blood pressure is 122/78 mmHg, and oxygen saturation is 98% on room air. Her pre-pregnancy body mass index was 23 kg/m2, and her weight gain has been appropriate. Clinically, she appears well. Fetal heart rate is in the 150s on a handheld Doppler device. Given this patient’s blood pressure readings, which of the following should be assessed because, if present, it would alter the diagnosis and management?
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