Question

A 36-year-old primigravida at 34 weeks’ gestation is found to have blood pressure 156/102 mmHg on two occasions 4 hours apart and 2+ protein on urine dipstick. She has no neurological symptoms or right upper quadrant pain. What is the most appropriate initial management?

Accepted Answer

Start labetalol and arrange urgent obstetric assessment the same day

Answer

Reassure and review in 1 week in the community

Answer

Start an ACE inhibitor for blood pressure control

Answer

Advise complete bed rest at home without medication

Answer

No treatment is required as hypertension is common in pregnancy

Practice question

A 36-year-old primigravida at 34 weeks’ gestation is found to have blood pressure 156/102 mmHg on two occasions 4 hours apart and 2+ protein on urine dipstick. She has no neurological symptoms or right upper quadrant pain. What is the most appropriate initial management?