A 36-week gravid patient presents with blood pressure 172/112 mm Hg, severe headache, 3+ reflexes, and new proteinuria. Platelets are 102,000/µL; AST ...

Question

A 36-week gravid patient presents with blood pressure 172/112 mm Hg, severe headache, 3+ reflexes, and new proteinuria. Platelets are 102,000/µL; AST 88 U/L. What is the most appropriate immediate management step?

Accepted Answer

Administer IV labetalol (or hydralazine) to acutely reduce BP below 160/110

Answer

Induce labour without other measures

Answer

Start nifedipine ER and discharge with follow-up

Answer

Delay antihypertensives; observe for 24 hours

Answer

Magnesium sulfate is unnecessary unless seizures occur

us-usmle-step-2 MCQ (SBA): Preeclampsia with Severe Features

A 36-week gravid patient presents with blood pressure 172/112 mm Hg, severe headache, 3+ reflexes, and new proteinuria. Platelets are 102,000/µL; AST 88 U/L. What is the most appropriate immediate management step?