Question

A 29-year-old at 35+2 weeks with BP 168/112 mm Hg, RUQ pain, platelets 85,000/µL, creatinine 1.4 mg/dL, urine protein/creatinine 0.8. Fetal testing reassuring. Next best step?

Accepted Answer

Immediate delivery after stabilization with magnesium and antihypertensives

Answer

Expectant management with daily labs

Answer

Start oral labetalol only and observe

Answer

Magnesium only; delay delivery until 37 weeks

Answer

Betamethasone, plan delivery at 37 weeks

Practice question

A 29-year-old at 35+2 weeks with BP 168/112 mm Hg, RUQ pain, platelets 85,000/µL, creatinine 1.4 mg/dL, urine protein/creatinine 0.8. Fetal testing reassuring. Next best step?