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Preeclampsia (Severe Features) — USMLE Step 2 CK MCQ

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ModerateObstetrics & GynecologyPreeclampsia (Severe Features)USMLE Step 2 CK

A 30-year-old at 35+6 weeks has preeclampsia with severe features (BP 168/112 mmHg, severe headache). Best management?

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Correct answer: A — Initiate magnesium sulfate and plan delivery (≥34 weeks)

For preeclampsia with severe features at ≥34 weeks, ACOG recommends magnesium sulfate seizure prophylaxis and delivery after stabilization. Expectant delay is inappropriate; antihypertensives alone are insufficient; delaying solely for steroids risks harm.

Reference: ACOG (2020): Practice Bulletin No. 222 - Gestational Hypertension and Preeclampsia