A 32-year-old primigravida at 38 weeks’ gestation presents with headache, visual disturbance and epigastric pain. BP is 166/112 mmHg and urine dipstic...

Question

A 32-year-old primigravida at 38 weeks’ gestation presents with headache, visual disturbance and epigastric pain. BP is 166/112 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

Admit urgently to hospital for management of severe pre-eclampsia

Answer

Reassure and review in 1 week

Answer

Start oral Labetalol and arrange community follow-up

Answer

Discharge with oral Nifedipine and no further action

Answer

Start ACE inhibitor therapy

uk-plab-1 MCQ (SBA): Severe pre-eclampsia

A 32-year-old primigravida at 38 weeks’ gestation presents with headache, visual disturbance and epigastric pain. BP is 166/112 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate management?