PEDIATRIC/ GYNECOLOGIST
3
Which medication used to treat hypertension and/or cardiovascular disease has the
lowest risk and, therefore, would be considered the safest if an unintended pregnancy were to
occur?
Hypertension is mostly found at most 6% of young women (Foy et al. 2016). Its
treatment aims at decreasing cardiovascular risk, the astronomy of which is less dependent on the
level of blood pressure than associated cardiovascular risk factors hypertension-related organ
damage and concomitant disease. Hypertension diseases of pregnancy complicate up to 10% of
pregnancies. This leads to maternal and perinatal mortality (Verbiest and Woodward, 2016).
Therefore, from the given medicines, hydralazine is the right medicine to treat hypertension and
cardiovascular disease (Laurent et al. 2017). Hydralazine is better than an ACE inhibitor that her
medical provider prescribed. This is because ACE inhibitor, which includes Lisinopril, is one of
the worst blood pressure drugs, and it will bring higher risk to her in case she is pregnant.
Pregnant women are advised to avoid Atenolol medicine as it goes through placental barrier, thus
appearing in cord blood. This affects pregnancy may lead to miscarriage.
As Monica does not know her biological family’s genetic risk history, what primary
genetic risk factor based on her race or ethnicity would you most want to screen her for during
preconception?
Findings suggest that the race of an individual is the most important aspect considered by
physicians when making decisions on preconception testing (Franasiak et al. 2016). Biologists
say that individuals whose parents have hypertension are at more risk of developing the
condition. This is particularly if both parents have hypertension. This is because hypertension is

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