Chronic Hypertension Is Evaluated in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11820

SMLE Question #11820

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 27-year-old primigravida at 32 weeks’ gestation with chronic hypertension is evaluated for suspected fetal growth restriction. Ultrasound shows estimated fetal weight at the 5th percentile, oligohydramnios, and repeated umbilical artery Doppler readings with reversed end-diastolic flow. Biophysical profile score is 6/10. The cervix is unfavorable. She is in a tertiary care hospital with NICU support. What is the most appropriate management at this time?

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