A 24-year-old primigravida at 35 weeks has BP 168/112 mm Hg on two readings 15 minutes apart, with headache and hyperreflexia. What is the most approp...

Question

A 24-year-old primigravida at 35 weeks has BP 168/112 mm Hg on two readings 15 minutes apart, with headache and hyperreflexia. What is the most appropriate immediate management?

Accepted Answer

Start magnesium sulfate for seizure prophylaxis and give IV labetalol or hydralazine urgently

Answer

Oral labetalol and discharge with close follow-up

Answer

Delay treatment until proteinuria confirmed

Answer

Start ACE inhibitor to control blood pressure

Answer

Begin nifedipine extended-release next week

us-usmle-step-2 MCQ (SBA): Severe Preeclampsia Hypertensive Emergency

A 24-year-old primigravida at 35 weeks has BP 168/112 mm Hg on two readings 15 minutes apart, with headache and hyperreflexia. What is the most appropriate immediate management?