What percentage of pregnancies are complicated by hypertension?
What percentage of eclamptic seizures occur in women without significant proteinuria?
A 21-year-old G1 at 36 weeks’ gestation presents for her clinic visit and is noted to have a blood pressure of 148/88 mm Hg. A repeat blood pressure 30 minutes later is 146/92 mm Hg. Her blood pressures throughout pregnancy have been below 140/90 mm Hg. She denies any complaints, and urinalysis is negative for proteinuria. What is the most likely diagnosis?
d. Gestational hypertension
What percentage of eclamptic seizures occur more than 48 hours after delivery?
A 28-year-old G1 at 38 weeks’ gestation presents with complaint of contractions. Her blood pressure is noted to be 148/90 mm Hg and 152/96 mm Hg. She has a urine protein:creatinine ratio of 0.4, a creatinine of 1.04 mg/dL (baseline 0.48 mg/dL), normal AST and ALT, and platelet count of 110,000/µL. She denies any symptoms. What criteria for severe preeclampsia does this patient meet?
d. She does not meet criteria for severe preeclampsia.
Many conditions and factors are associated with an increased risk for preeclampsia. Which of the following factors results in the greatest relative risk for a diagnosis of preeclampsia in the current pregnancy?