Nephrology Q62

A 28-year-old woman is evaluated during a follow-up visit for elevated blood pressure measurements during pregnancy. She is at 12 weeks' gestation of her first pregnancy. She feels well, and the pregnancy has been otherwise uncomplicated. She did not have routine medical care before her pregnancy. Family history is significant for hypertension in her father and sister. Her only medication is a prenatal vitamin. On physical examination, blood pressure is 155/95 mm Hg; other vital signs are normal. Funduscopic, neurologic, and cardiac examinations are normal. Laboratory studies are normal.

Which of the following is the most likely cause of this patient's elevated blood pressure?

A Chronic hypertension

B Gestational hypertension

C Normal physiologic changes in pregnancy

D Preeclampsia

Choose an Answer Above

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