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Severe Preeclampsia — USMLE Step 2 CK MCQ

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ModerateObstetrics & GynecologySevere PreeclampsiaUSMLE Step 2 CK

A 30-year-old gravida 1 at 33 weeks with severe preeclampsia (BP 170/110 mm Hg, 3+ proteinuria, new headache) presents. Fetus reassuring. Immediate management includes which?

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Correct answer: B — Magnesium sulfate for seizure prophylaxis and IV antihypertensives; plan delivery after stabilization

Severe preeclampsia at ≥34 weeks warrants delivery after stabilization and seizure prophylaxis with magnesium sulfate plus IV antihypertensives for severe BP. Outpatient or expectant approaches (A,C,E) are unsafe. Steroids alone (D) are not definitive.

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