Severe preeclampsia — DRCOG MCQ

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ModerateObstetrics & GynecologySevere preeclampsiaDRCOG

A 32-year-old at 35 weeks with severe-range BPs (170/112 mm Hg), headache, and 3+ proteinuria. Best immediate management?

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Correct answer: A — Start magnesium sulfate for seizure prophylaxis and IV antihypertensives; plan delivery after stabilisation

Explanation lettering: B = shown as A · A = shown as B · E = shown as D · D = shown as E

Severe preeclampsia warrants magnesium sulfate, IV antihypertensives, and delivery (>=34 weeks) after stabilisation. A/C/E unsafe. D ACE inhibitors are contraindicated in pregnancy.

Reference: ACOG Practice Bulletin (2020): Gestational Hypertension and Preeclampsia (No. 222)