Answer 42

42.  Choice C is the correct answer.  Hydralazine is safe in pregnancy and works great in this situation. The patients HR is too low to increase the dose of labetolol which would be ideal.  Delivery is recommended in severe preclampsia but not pregnancy induced hypertension.  In addition, the patient is only 22 weeks and is not viable.  ACE inhibitors should be avoided late in pregnancy due to increasing prostaglandin levels.