What is the appropriate intervention if a pregnant patient with a history of chronic hypertension presents with elevated blood pressure readings?

In cases where a pregnant patient has a history of chronic hypertension and presents with elevated blood pressure readings, obtaining preeclampsia lab work for further evaluation is a crucial intervention. This step is vital because it helps to determine if the elevated blood pressure is a sign of preeclampsia or worsening chronic hypertension, which are significant concerns during pregnancy.

Preeclampsia is a serious condition that can pose risks to both the mother and the fetus, including increased blood pressure and potential damage to organs. The laboratory work typically includes tests to evaluate liver function, kidney function, and platelet counts, which aids in diagnosing preeclampsia. Early identification can lead to timely interventions, potentially reducing complications.

Other options, such as discharging the patient with regular activity recommendations or scheduling a follow-up appointment in a month, do not address the immediate concern that elevated blood pressure levels present. These approaches would not provide the necessary assessment and management that the situation demands. Administering antihypertensive medication immediately may not be appropriate without first understanding the underlying cause of the elevated readings, as the management differs based on whether the patient has chronic hypertension or is developing preeclampsia. Thus, obtaining lab work is the best course of action to