A 34-year-old G2P1 woman at 32 weeks' gestation presents to the labour and delivery unit with regular painful contractions every 5 minutes for the past 2 hours. She has chronic hypertension for 5 years treated with ramipril 10 mg daily, which she has continued throughout pregnancy, and has no known drug allergies. Group B streptococcus screening has not yet been done. On sterile speculum examination the membranes are intact with no pooling of fluid and no bleeding, and the cervix is 1 cm dilated and 50% effaced. The fetal heart rate tracing is reassuring and the fetus is cephalic. Urine dipstick is negative for protein and serum creatinine is 62 µmol/L (45-90).
| Heart rate | 92/min |
| Respiratory rate | 16/min |
| Temperature | 36.9 °C |
| O2 saturation | 98%, room air |
| Blood pressure | 148/94 mm Hg |
Question 1 of 29
Which of the following medications should be started at this time?
Select 2. (0 / 2 selected)
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