Question

A 28-year-old primigravida at 34 weeks’ gestation presents with headache and visual disturbances. Her blood pressure is 162/106 mmHg on two occasions 4 hours apart and urinalysis shows 3+ protein. She has no seizures. What is the most appropriate immediate antihypertensive treatment?

Accepted Answer

Start oral Labetalol and arrange urgent obstetric review

Answer

Start oral Ramipril and review in a week

Answer

Advise bed rest at home with no medication

Answer

Start sublingual Nifedipine and discharge

Answer

Start Methyldopa and discharge for community review

Practice question

A 28-year-old primigravida at 34 weeks’ gestation presents with headache and visual disturbances. Her blood pressure is 162/106 mmHg on two occasions 4 hours apart and urinalysis shows 3+ protein. She has no seizures. What is the most appropriate immediate antihypertensive treatment?