Question

A 30-year-old primigravida at 36 weeks' gestation presents with new-onset headache and visual disturbances. Blood pressure is 168/110 mm Hg on two readings 4 hours apart. Urine protein-creatinine ratio is 0.7, and platelets are 110,000/µL. She has upper abdominal pain. Which is the most appropriate management?

Accepted Answer

Magnesium sulfate prophylaxis and immediate delivery

Answer

Start oral labetalol and plan delivery at 39 weeks

Answer

Observe with bed rest and weekly labs

Answer

Start low-dose aspirin and continue pregnancy

Answer

Outpatient follow-up in 3 days

Practice question