A 29-year-old pregnant woman, 36 weeks gestation, presents with headache, visual disturbances and swelling of her hands and face. Her blood pressure i...

Question

A 29-year-old pregnant woman, 36 weeks gestation, presents with headache, visual disturbances and swelling of her hands and face. Her blood pressure is 164 over 106 mmHg and urinalysis shows 3 plus protein. What is the most appropriate immediate management

Accepted Answer

Urgent admission, antihypertensive therapy and consideration of Magnesium sulfate

Answer

Discharge home with oral Labetalol and routine review

Answer

Prescribe Aspirin 75 mg once daily and review in 2 weeks

Answer

Offer termination of pregnancy

Answer

No treatment required as swelling is normal in pregnancy

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

A 29-year-old pregnant woman, 36 weeks gestation, presents with headache, visual disturbances and swelling of her hands and face. Her blood pressure is 164 over 106 mmHg and urinalysis shows 3 plus protein. What is the most appropriate immediate management