A 28-year-old primigravida at 34 weeks gestation presents with headache and visual disturbances. Blood pressure is 168/110 mmHg with 3 plus proteinuri...

Question

A 28-year-old primigravida at 34 weeks gestation presents with headache and visual disturbances. Blood pressure is 168/110 mmHg with 3 plus proteinuria on dipstick. Reflexes are brisk. What is the most appropriate immediate management?

Accepted Answer

Start intravenous Magnesium sulfate and arrange urgent obstetric review for possible delivery

Answer

Discharge with oral Labetalol and review in 1 week

Answer

Start an ACE inhibitor for blood pressure control

Answer

Reassure that blood pressure will fall after delivery and no acute treatment is needed

Answer

Advise complete bed rest at home

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

A 28-year-old primigravida at 34 weeks gestation presents with headache and visual disturbances. Blood pressure is 168/110 mmHg with 3 plus proteinuria on dipstick. Reflexes are brisk. What is the most appropriate immediate management?