A 28-year-old woman at 32 weeks' gestation presents to a small rural emergency department with new-onset severe headache, visual changes and blood pre...

Question

A 28-year-old woman at 32 weeks' gestation presents to a small rural emergency department with new-onset severe headache, visual changes and blood pressure 170/110 mm Hg. Dipstick shows 3+ protein. There is no obstetrician on site. What is the most appropriate immediate management?

Accepted Answer

Administer intravenous antihypertensive, magnesium sulfate prophylaxis and arrange urgent transfer to an obstetric centre

Answer

Discharge with oral labetalol and review in 1 week

Answer

Arrange urgent transfer without any treatment

Answer

Start oral antihypertensives only and await obstetric advice before further action

Answer

Give analgesia only for headache and observe

ca-mccqe1 MCQ (SBA): Severe pre-eclampsia in rural setting

A 28-year-old woman at 32 weeks' gestation presents to a small rural emergency department with new-onset severe headache, visual changes and blood pressure 170/110 mm Hg. Dipstick shows 3+ protein. There is no obstetrician on site. What is the most appropriate immediate management?