امرأة حامل في الأسبوع ٢٨ ضغطها ١٤٦/٩٤ لأول مرة في هذا الحمل، بدون بروتين في البول وبدون أعراض. ما التصنيف الأرجح؟

A woman at 28 weeks has BP 146/94 for the first time in this pregnancy, with no proteinuria or symptoms. What is the most likely classification?

1. Pre-existing chronic hypertension
2. HELLP syndrome
3. Severe pre-eclampsia
4. Gestational hypertension

Answer: D) Gestational hypertension. New hypertension after 20 weeks without proteinuria or organ damage is gestational hypertension, needing monitoring as it can progress to pre-eclampsia.