This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Hypertensive Disorders in Pregnancy, Subject name: Gynaecology & Obstetrics
[{'content': 'A primigravida 32-year-old female is admitted to the antenatal ward at 35 weeks is found to BP of 160/110. Her urine does not contain albumin. Which of the following drugs should not be used in her management? \nSelect and explain. \nA. Frusemide, B. Hydralazine, C. Labetalol, D. Methyldopa', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Ans. is a, i.e. FrusemideIn a PIH patient, furosemide is contraindicated as an anti-hypertensive because in PIH, the intravascular volume is low, giving a diuretic would further decrease it, which reduce placental perfusion.Remember: Diuretics are not contraindicated in pregnancy.In a pregnant female with CHF, diuretics are used, then it is not contraindicated. Also diuretics can be used if there is pulmonary edema.', 'role': 'assistant'}]