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Preeclampsia with Severe Features — DRCOG MCQ

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HardObstetrics & GynecologyPreeclampsia with Severe FeaturesDRCOG

A woman at 32 weeks has blood pressure 166/112 mmHg, platelets 90 ×10⁹/L and a persistent severe headache. Pre-eclampsia has been diagnosed. What is the best immediate plan?

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Correct answer: E — Admit, treat hypertension, consider magnesium sulfate and assess early birth

The best answer is “Admit, treat hypertension, consider magnesium sulfate and assess early birth”. This presentation requires hospital care, immediate treatment of severe hypertension and assessment for magnesium sulfate because neurological symptoms and falling platelets indicate severe disease. At 32 weeks, senior obstetric review should apply maternal and fetal thresholds for planned early birth after stabilisation; a fixed wait to 34 or 37 weeks is unsafe.

Reference: NICE NG133: Hypertension in pregnancy: https://www.nice.org.uk/guidance/ng133/chapter/recommendations