A 28-year-old primigravida at 30 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria and new-onset headache and visual changes...

Question

A 28-year-old primigravida at 30 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria and new-onset headache and visual changes. Fetal movements are present. What is the most appropriate immediate management?

Accepted Answer

Admit, administer magnesium sulphate for seizure prophylaxis and initiate plans for expedited delivery

Answer

Observe and review in 1 week

Answer

Start oral labetalol only and continue pregnancy to term

Answer

Prescribe bed rest at home

Answer

Ignore blood pressure because it is often elevated in pregnancy

ca-mccqe1 MCQ (SBA): Severe pre-eclampsia

A 28-year-old primigravida at 30 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria and new-onset headache and visual changes. Fetal movements are present. What is the most appropriate immediate management?