Pregnancy-Induced Hypertension

According to current diagnostic criteria, what is the minimum proteinuria threshold required to diagnose preeclampsia with severe features in a non-diabetic pregnant woman?

A 28-year-old primigravida at 34 weeks of gestation presents to the antenatal clinic with a blood pressure of 158/102 mmHg. She reports a 2-week history of persistent headache, epigastric pain, and visual disturbances. On examination, she has brisk reflexes with 3+ patellar reflexes bilaterally. Urine dipstick shows 3+ proteinuria. Platelet count is 95,000/μL, serum creatinine is 1.4 mg/dL, and AST is 78 U/L. What is the most appropriate immediate management?

A 28-year-old primigravida at 32 weeks of gestation presents with blood pressure 158/102 mmHg, proteinuria 2+ on dipstick, and hyperreflexia. She has no symptoms of imminent eclampsia. What is the drug of choice for antihypertensive therapy in this patient?

A 32-year-old multiparous woman at 28 weeks of gestation is diagnosed with severe preeclampsia (BP 165/110 mmHg, proteinuria 3+, epigastric pain). She is not in labor and has no contraindications to oral therapy. Which antihypertensive is the preferred choice for immediate BP reduction while awaiting transfer to a tertiary center?

A 32-year-old primigravida at 28 weeks of gestation presents with blood pressure of 160/110 mmHg on two occasions 4 hours apart. Urinalysis shows 2+ proteinuria. What is the most common cause of maternal mortality in pregnancy-induced hypertension?