A 29-year-old primigravida at 36 weeks presents with BP 165/110 mmHg, severe headache and right upper quadrant pain. Urinalysis shows 3+ protein. What...

Question

A 29-year-old primigravida at 36 weeks presents with BP 165/110 mmHg, severe headache and right upper quadrant pain. Urinalysis shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

Urgent admission, IV antihypertensives, magnesium sulfate and obstetric consultation for likely delivery

Answer

Start oral labetalol and review in 1 week

Answer

Reassure and arrange community midwife follow-up

Answer

Start aspirin alone

Answer

Delay treatment until 40 weeks' gestation

au-acem MCQ (SBA): Severe pre-eclampsia

A 29-year-old primigravida at 36 weeks presents with BP 165/110 mmHg, severe headache and right upper quadrant pain. Urinalysis shows 3+ protein. What is the most appropriate immediate management?