A 29-year-old primagravida at 34 weeks gestation visits you in clinic today. Her baseline blood pressure at 11 weeks was 130/70. Today she states that she has had several headaches this week that were relieved by Tylenol. Her pregnancy has been uncomplicated, except 4 days ago when she had a blood pressure of 145/78 and a negative urine dip for protein. Her laboratory tests to rule out preeclampsia were normal at that time. Today her blood pressure is 144/90 and her urine dip has no protein.
12-1. The most likely diagnosis today related to these findings is:

Question

Quizplus · Accepted Answer

The patient has elevated blood pressure after 20 weeks of gestation without proteinuria or severe features, which is consistent with gestational hypertension.

A 29-Year-Old Primagravida at 34 Weeks Gestation Visits You in Clinic