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Chronic Hypertension

A 36-year-old primigravida has a 2-year history of chronic hypertension that is well controlled with medication. She monitors her blood pressure at home, and at her 16-week appointment, she is thrilled to report a drop in her blood pressure. What is the best response to this information?

a. She should discontinue her medication at this time.

b. Chronic hypertension typically improves early in pregnancy.

c. This finding predicts a favorable prognosis for her pregnancy.

d. None of the above

Which of the following factors may influence blood pressure?

a. Race

b. Weight

c. Gender

d. All of the above

Which of the following blood pressure measurements meets the criteria for “prehypertension” as defined by the Joint National Committee 7?

a. Diastolic blood pressure 70–80 mm Hg

b. Diastolic blood pressure 90–95 mm Hg

c. Systolic blood pressure 120–130 mm Hg

d. Systolic blood pressure 140–150 mm Hg

An African-American patient presents for her annual gynecologic examination and has a blood pressure reading of 142/92 mm Hg. After checking it at home several more times, she calls to report persistent readings of 140–150/90–100 mm Hg. What medication is appropriate as initial therapy for most nonpregnant patients?

a. Enalapril

b. Labetalol

c. Losartan

d. Hydrochlorothiazide

What is the target blood pressure you are attempting to achieve with this therapy?

a. < 120/90 mm Hg

b. < 130/80 mm Hg

c. < 140/90 mm Hg

d. < 150/100 mm Hg

Which of the following factors is an indication for evaluation of renal function in a patient with chronic hypertension who ...

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