Hypertensive disorders: indication for delivery despite prematurity: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Hypertensive disorders: indication for delivery despite prematurity

Sample item

A woman with severe pre-eclampsia at 31 weeks is under expectant management on a high-dependency unit. Which new finding mandates delivery after stabilisation regardless of gestation?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Pulmonary oedema

Expectant management is abandoned for uncontrolled severe hypertension, eclampsia, pulmonary oedema, HELLP, renal failure, abruption or non-reassuring fetal status. The amount of proteinuria alone does not decide timing, and controlled hypertension or a modest weight lag with normal Doppler does not require delivery.

Option by option

  • A. BP 150/100 mmHg on oral treatment

    Blood pressure controlled on treatment can still be managed expectantly.

  • B. Proteinuria rising to 3 g in 24 hours

    The degree of proteinuria alone does not determine the timing of delivery.

  • C. Pulmonary oedema (correct)

    Correct. Pulmonary oedema is a maternal indication for delivery.

  • D. Estimated fetal weight on the 15th centile

    A fetal weight just above the 10th centile is not an indication.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, Pulmonary oedema. Expectant management is abandoned for uncontrolled severe hypertension, eclampsia, pulmonary oedema, HELLP, renal failure, abruption or non-reassuring fetal status.

Why is "BP 150/100 mmHg on oral treatment" not the answer?

Blood pressure controlled on treatment can still be managed expectantly.

Why is "Proteinuria rising to 3 g in 24 hours" not the answer?

The degree of proteinuria alone does not determine the timing of delivery.

Why is "Estimated fetal weight on the 15th centile" not the answer?

A fetal weight just above the 10th centile is not an indication.

What concept does this question test?

It tests Hypertensive disorders: indication for delivery despite prematurity in OBG. The amount of proteinuria alone does not decide timing, and controlled hypertension or a modest weight lag with normal Doppler does not require delivery.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Hypertensive disorders: indication for delivery despite prematurity?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.