Hypertensive disorders: timing of delivery: 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.

Try it

OBG · Hypertensive disorders: timing of delivery

Sample item

In pre-eclampsia with severe features (stable, no fetal compromise), at what gestation is delivery recommended after maternal stabilisation?

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

The answer and the reasoning

C. 34 weeks or earlier if complications arise

In pre-eclampsia with severe features, delivery is recommended at 34 weeks (earlier for uncontrolled hypertension, HELLP, eclampsia, abruption or fetal compromise). Expectant management before 34 weeks is only at tertiary centres. Mild pre-eclampsia is delivered at 37 weeks.

Option by option

  • A. 28 weeks regardless

    28 weeks is too early without complications.

  • B. 41 weeks

    41 weeks is far too late.

  • C. 34 weeks or earlier if complications arise (correct)

    Correct. 34 weeks is the usual threshold.

  • D. 40 weeks

    Waiting until 40 weeks risks maternal complications.

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.

More OBG questions

Questions about this OBG question

What is the answer to this OBG question?

The best answer is C, 34 weeks or earlier if complications arise. In pre-eclampsia with severe features, delivery is recommended at 34 weeks (earlier for uncontrolled hypertension, HELLP, eclampsia, abruption or fetal compromise).

Why is "28 weeks regardless" not the answer?

28 weeks is too early without complications.

Why is "41 weeks" not the answer?

41 weeks is far too late.

Why is "40 weeks" not the answer?

Waiting until 40 weeks risks maternal complications.

What concept does this question test?

It tests Hypertensive disorders: timing of delivery in OBG. Expectant management before 34 weeks is only at tertiary centres. Mild pre-eclampsia is delivered at 37 weeks.

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: timing of delivery?

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.