Question

A 29-year-old at 36 weeks' gestation presents with BP 166/112 mm Hg, 3+ reflexes, and headache. Platelets 82,000/µL, AST 105 U/L, urine protein/creatinine 0.5. Best next management?

Accepted Answer

Magnesium sulfate for seizure prophylaxis and treat severe hypertension; arrange delivery

Answer

Expectant outpatient management

Answer

Start oral nifedipine only

Answer

Delay delivery until 39 weeks

Answer

Start heparin for thrombocytopenia

Practice question

A 29-year-old at 36 weeks' gestation presents with BP 166/112 mm Hg, 3+ reflexes, and headache. Platelets 82,000/µL, AST 105 U/L, urine protein/creatinine 0.5. Best next management?