Question

A 34-year-old woman at 30 weeks' gestation presents with severe-range BPs (168/112 mm Hg) and headache. Urine protein/creatinine ratio is 0.5. Next best step?

Accepted Answer

Initiate rapid antihypertensive therapy for severe hypertension and give magnesium sulfate

Answer

Observe and recheck BPs in 4 hours

Answer

Start ACE inhibitor and send home with close follow-up

Answer

Delay therapy until proteinuria exceeds 0.3 g/day

Answer

Start low-dose aspirin 81 mg daily now

Practice question

A 34-year-old woman at 30 weeks' gestation presents with severe-range BPs (168/112 mm Hg) and headache. Urine protein/creatinine ratio is 0.5. Next best step?