Answer and explanation

Correct answer: D. New hypertension of 140/90 mmHg or more after 20 weeks with proteinuria or organ dysfunction

  1. Step 1: Hypertensive disorders are classified by timing and associated features. Step 2. NICE defines gestational hypertension as new hypertension after 20 weeks, and pre-eclampsia adds proteinuria or organ involvement such as renal, liver or neurological problems. Answer: New hypertension of 140/90 mmHg or more after 20 weeks with proteinuria or organ dysfunction. Why not the others: Hypertension before 20 weeks is chronic hypertension. Proteinuria without hypertension has other causes. A pressure of 130/80 does not meet the threshold.

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