Question

A 29-year-old at 32 weeks' gestation has blood pressures 168/112 mm Hg with severe headache and 3+ reflexes; platelets 85,000/µL and AST 110 U/L. Next best step while arranging definitive management?

Accepted Answer

Start magnesium sulfate for seizure prophylaxis

Answer

Start IV nifedipine drip

Answer

Give methyldopa and observe

Answer

Defer therapy until confirmatory 24-hour urine protein returns

Answer

Schedule delivery at 39 weeks

Practice question

A 29-year-old at 32 weeks' gestation has blood pressures 168/112 mm Hg with severe headache and 3+ reflexes; platelets 85,000/µL and AST 110 U/L. Next best step while arranging definitive management?