The presence what levels of urine albumin together with high blood pressure is sufficient to categorize her as having pre-eclampsia?

Correct option is D

Sol. Pre-eclampsia is diagnosed based on new-onset hypertension after 20 weeks of gestation along with proteinuria. Proteinuria is defined as ≥ 300 mg/24 hours or +1 to +2 on dipstick. Therefore, +2 albumin on a dipstick test, along with high blood pressure (≥140/90 mmHg), is considered sufficient to diagnose pre-eclampsia. This condition is a leading cause of maternal and fetal complications and requires close monitoring and management to prevent progression to eclampsia.
Explanation of each option:
· (a) +3 – This indicates more severe proteinuria, possibly pointing to severe pre-eclampsia, but not the threshold for diagnosis.
· (b) +4 – Reflects very high levels of proteinuria, often indicating severe renal involvement or worsening pre-eclampsia, not the initial diagnostic marker.
· (c) +5 – Not a standard grading in dipstick tests; most tests range from trace to +4. This option is invalid clinically.
· (d) +2 – Correct. It meets the minimum required level of proteinuria to categorize a patient as having pre-eclampsia when accompanied by high BP.