Rosh Women's Health Practice Exam

In the management of hypertension during pregnancy, especially for a young woman who is 22 years old and has consistent high blood pressure alongside a normal urinalysis, the recommended approach is often careful monitoring and lifestyle modification rather than immediate pharmacological intervention.

For mild hypertension without any other concerning symptoms or signs of condition complications such as preeclampsia, a conservative approach may be appropriate. In cases where the blood pressure is not severely elevated and there is no evidence of end-organ dysfunction or complications, withholding antihypertensive medications is often the preferred strategy. This helps to mitigate potential risks associated with drug therapies that may affect the fetus.

Should her blood pressure readings become more concerning or if symptoms develop, then pharmacologic therapy may be initiated. However, in the absence of complications, management focuses on regular monitoring and health support. This reflects current guidelines which emphasize treatment for hypertension during pregnancy based on specific thresholds and symptoms.