A 30-year-old woman at 34 weeks' gestation presents with new onset severe headache, visual disturbances, right upper quadrant pain, and blood pressure...

Question

A 30-year-old woman at 34 weeks' gestation presents with new onset severe headache, visual disturbances, right upper quadrant pain, and blood pressure 172/112 mm Hg. Urinalysis shows 3+ protein. According to SOGC guidelines, which statement best describes her condition and initial management?

Accepted Answer

She has severe pre-eclampsia and requires urgent hospital admission, magnesium sulphate for seizure prophylaxis, and blood pressure control

Answer

She has gestational hypertension and can be managed as an outpatient

Answer

She has chronic hypertension unrelated to pregnancy and can be observed until term

Answer

Her symptoms are typical for benign third-trimester discomfort and require only reassurance

Answer

She should receive immediate high-dose intravenous corticosteroids as sole therapy

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

A 30-year-old woman at 34 weeks' gestation presents with new onset severe headache, visual disturbances, right upper quadrant pain, and blood pressure 172/112 mm Hg. Urinalysis shows 3+ protein. According to SOGC guidelines, which statement best describes her condition and initial management?