Question

A 27-year-old woman at 33 weeks gestation develops severe preeclampsia (BP 168/112 mmHg, headaches, 3+ reflexes). Fetus is reassuring. Best immediate management?

Accepted Answer

Start labetalol IV and give magnesium sulfate for seizure prophylaxis

Answer

Give ACE inhibitor for rapid BP control

Answer

Delay treatment until proteinuria confirmed

Answer

Start nifedipine ER and discharge home with close follow-up

Answer

No antihypertensives to avoid fetal compromise

Practice question

A 27-year-old woman at 33 weeks gestation develops severe preeclampsia (BP 168/112 mmHg, headaches, 3+ reflexes). Fetus is reassuring. Best immediate management?