A 36-year-old primigravida at 34 weeks’ gestation presents with new-onset headache, visual disturbance and right upper quadrant pain. Her blood pressu...

Question

A 36-year-old primigravida at 34 weeks’ gestation presents with new-onset headache, visual disturbance and right upper quadrant pain. Her blood pressure is 164/112 mmHg and urinalysis shows +++ protein. What is the most appropriate immediate management?

Accepted Answer

Admit urgently and start intravenous Labetalol and Magnesium Sulphate

Answer

Start oral Labetalol and arrange routine antenatal clinic review

Answer

Discharge with home blood pressure monitoring

Answer

Offer induction of labour at 40 weeks with no other intervention

Answer

Start Methyldopa as an outpatient

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

A 36-year-old primigravida at 34 weeks’ gestation presents with new-onset headache, visual disturbance and right upper quadrant pain. Her blood pressure is 164/112 mmHg and urinalysis shows +++ protein. What is the most appropriate immediate management?