Am Fam Physician. 2025;111(1):81-82
Related USPSTF Clinical Summary Table: Screening for Hypertensive Disorders of Pregnancy
Author disclosure: No relevant financial relationships.
CASE STUDY
A 25-year-old woman presents for routine prenatal care at an estimated 20 weeks of gestation. This is her first pregnancy. The pregnancy has been uncomplicated so far, and she does not have any new symptoms. She has no significant medical history and takes no medications. At her last appointment, her blood pressure measurement was 118/58 mm Hg.
CASE STUDY QUESTIONS
1. Based on the US Preventive Services Task Force (USPSTF) recommendation statement, when should this patient be screened for hypertensive disorders of pregnancy?
A. Once, at 20 weeks of gestation (during this visit).
B. Once, at 28 weeks of gestation.
C. Once, at 36 weeks of gestation.
D. During each prenatal visit, including this one.
E. Once per trimester—before 12 weeks of gestation, at 13 to 27 weeks of gestation, and at 28 to 40 weeks of gestation.
2. According to the USPSTF recommendation statement, what is the most appropriate way to screen this patient for hypertensive disorders of pregnancy?
A. With only a blood pressure measurement.
B. With only a urine protein test.
C. With only a blood test.
D. With a blood pressure measurement and urine protein test.
E. With a blood pressure measurement, urine protein test, and blood test.
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