A 28-year-old primigravida at 32 weeks gestation presents with severe headache, visual disturbances (flashing lights), and epigastric pain. Her blood ...

Question

A 28-year-old primigravida at 32 weeks gestation presents with severe headache, visual disturbances (flashing lights), and epigastric pain. Her blood pressure is 165/115 mmHg. Urine dipstick shows proteinuria +++. What is the most critical initial step in management?

Accepted Answer

Administer IV magnesium sulfate

Answer

Administer oral labetalol 200mg

Answer

Arrange urgent delivery by Caesarean section

Answer

Perform a CT head scan

Answer

Administer IV hydralazine

mrcgp akt MCQ (SBA): Severe Pre-eclampsia

A 28-year-old primigravida at 32 weeks gestation presents with severe headache, visual disturbances (flashing lights), and epigastric pain. Her blood pressure is 165/115 mmHg. Urine dipstick shows proteinuria +++. What is the most critical initial step in management?