Question

A 28-year-old pregnant woman at 30 weeks has BP 154/102 mmHg and 2+ proteinuria, headaches and visual disturbance. Reflexes brisk. What is the most important immediate step?

Accepted Answer

Admit for assessment and consider magnesium sulfate

Answer

Start methyldopa and review in 1 week

Answer

Oral labetalol and routine antenatal follow-up

Answer

Start nifedipine SR at home

Answer

No action; repeat BP next visit

Practice question

A 28-year-old pregnant woman at 30 weeks has BP 154/102 mmHg and 2+ proteinuria, headaches and visual disturbance. Reflexes brisk. What is the most important immediate step?