GESTATIONAL HYPERTENSION

A   19-year-old primigravida    is  seen    in  the outpatient  prenatal    clinic  for

routine visit.  She is  at  32  weeks’  gestation,  confirmed   by  first   trimester

sonogram.   She has no  complaints. She denies  headache,   epigastric  pain,   or

visual  disturbances.   She has gained  2   pounds  since   her last    visit   two weeks

ago.    On  examination her blood   pressure    is  155/95  mm  Hg, which   is

persistent  on  repeat  check   10  minutes later.  She has only    trace   pedal   edema.

A   spot    urine   dipstick    is  negative.