A 28-year-old at 33 weeks' gestation with severe preeclampsia (BP 170/112, 3+ protein, headache) is admitted. Seizure prophylaxis is indicated. Which ...

Question

A 28-year-old at 33 weeks' gestation with severe preeclampsia (BP 170/112, 3+ protein, headache) is admitted. Seizure prophylaxis is indicated. Which regimen is recommended?

Accepted Answer

Magnesium sulfate 4-6 g IV loading dose over 20-30 min, then 1-2 g/h maintenance

Answer

Magnesium sulfate 2 g IV bolus then 0.5 g/h

Answer

Diazepam infusion until delivery

Answer

Levetiracetam 1 g IV q12h

Answer

Phenytoin 20 mg/kg IV once

us-usmle-step-2 MCQ (SBA): Preeclampsia (Seizure Prophylaxis)

A 28-year-old at 33 weeks' gestation with severe preeclampsia (BP 170/112, 3+ protein, headache) is admitted. Seizure prophylaxis is indicated. Which regimen is recommended?