A 30-year-old primigravida at 34 weeks presents with severe hypertension (170/115 mmHg), headache and right upper quadrant pain. Urine dipstick shows ...

Question

A 30-year-old primigravida at 34 weeks presents with severe hypertension (170/115 mmHg), headache and right upper quadrant pain. Urine dipstick shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

Admit, control blood pressure with IV or oral antihypertensives, commence magnesium sulphate and arrange urgent obstetric review for delivery planning

Answer

Reassure and review in 1 week

Answer

Start oral labetalol only and discharge

Answer

Start ACE inhibitor therapy

Answer

No specific treatment is needed until term

au-amc MCQ (SBA): Severe pre-eclampsia management

A 30-year-old primigravida at 34 weeks presents with severe hypertension (170/115 mmHg), headache and right upper quadrant pain. Urine dipstick shows 3+ protein. What is the most appropriate immediate management?