Question

A 30-year-old woman at 34 weeks' gestation presents with new-onset hypertension (blood pressure 158/102 mmHg) and proteinuria (2+ on dipstick, 24-hour protein 0.5 g/day). She has mild headaches but no visual changes, right upper quadrant pain or laboratory abnormalities. Foetal assessment is reassuring. What is the most appropriate management?

Accepted Answer

Start antihypertensive therapy, monitor closely for severe features and plan delivery at term if she remains stable.

Answer

Discharge without treatment because blood pressure is only mildly elevated.

Answer

Start magnesium sulphate for seizure prophylaxis and deliver immediately regardless of gestation.

Answer

Ignore proteinuria because it is common in pregnancy.

Answer

Advise strict bed rest at home without antihypertensives.

Practice question