Question

A 29-year-old woman at 36 weeks' gestation presents with new-onset headache and visual disturbances. Her blood pressure is 158/102 mm Hg on two readings. Urinalysis shows 3+ protein. According to SOGC's guideline on hypertensive disorders of pregnancy, what is the most appropriate immediate management?

Accepted Answer

Admit for evaluation, start antihypertensive therapy such as oral labetalol, and arrange close maternal-foetal monitoring

Answer

Reassure and recheck blood pressure in one week

Answer

Start an ACE inhibitor and send her home

Answer

Start thiazide diuretic therapy as first-line agent

Answer

Delay all treatment until blood pressure reaches >=160/110 mm Hg

Practice question