A 36-year-old woman at 30 weeks’ gestation presents with severe headache, visual disturbance and right upper quadrant pain. BP is 170/110 mmHg and uri...

Question

A 36-year-old woman at 30 weeks’ gestation presents with severe headache, visual disturbance and right upper quadrant pain. BP is 170/110 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

Intravenous Magnesium Sulfate and urgent obstetric review for possible delivery

Answer

Oral Labetalol and outpatient review

Answer

Bed rest at home and repeat BP in 1 week

Answer

Start ACE inhibitor therapy

Answer

Reassure and discharge

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

A 36-year-old woman at 30 weeks’ gestation presents with severe headache, visual disturbance and right upper quadrant pain. BP is 170/110 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate management?