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A pregnant woman develops blood pressure elevation after 20 weeks of gestation but has no proteinuria or evidence of maternal organ dysfunction. Which diagnosis best fits these findings?

Correct answer: B. Gestational hypertension

  • A. Chronic hypertension
  • B. Gestational hypertension
  • C. Pre-eclampsia
  • D. Chronic renal hypertension

Explanation

Gestational hypertension is new hypertension after 20 weeks without proteinuria or other features of pre-eclampsia. Chronic hypertension is present before pregnancy or early in pregnancy, while pre-eclampsia includes proteinuria or maternal organ involvement.

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About Complications of Pregnancy

Pregnancy complications include hyperemesis gravidarum, anaemia, ectopic pregnancy, miscarriage, antepartum haemorrhage, hypertensive disorders, gestational diabetes, infections and disorders of fetal growth. Questions focus on characteristic signs, risk factors, investigations, maternal and fetal effects, and nursing care, while acute life-threatening treatment belongs under obstetric emergencies.

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