Which of the following is NOT a therapeutic management step for gestational hypertension?

• A. Administering antihypertensive medication
• B. Administering anticonvulsants
• C. Administering steroids to mature fetal lungs
• D. Performing immediate surgery

Answer: (D)

The identification of performing immediate surgery as not being a therapeutic management step for gestational hypertension is rooted in the general approach to this condition. Gestational hypertension, characterized by high blood pressure during pregnancy without the presence of protein in the urine, is typically managed through a combination of medication and monitoring rather than surgical intervention.

Antihypertensive medications are commonly prescribed to help control blood pressure and reduce the risk of complications for both the mother and fetus. Administering anticonvulsants, such as magnesium sulfate, is often done when there is a risk of seizures, particularly in cases that progress to severe hypertension or preeclampsia. Steroids may be given to mature the fetal lungs, especially if there is a concern for preterm delivery due to the mother's condition.

In contrast, immediate surgery is not a standard response to gestational hypertension itself, as the condition can often be managed effectively with medication and close observation. Surgical interventions may be necessary in more severe cases or complications, but they are not routine for gestational hypertension alone. Thus, performing immediate surgery stands out as not being an appropriate or standard therapeutic step for managing gestational hypertension.