Question

A 30-year-old primigravida at 34 weeks’ gestation presents with persistent headache, visual disturbances and swelling of hands and face. BP is 162/104 mmHg and urine dipstick shows 3+ protein. Reflexes are brisk. According to NICE antenatal care and hypertensive disorder guidance, what is the most appropriate immediate management?

Accepted Answer

Admit urgently, start antihypertensive therapy such as Labetalol and consider Magnesium sulfate and expedited delivery.

Answer

Start oral Nifedipine only and review in 1 week.

Answer

Arrange routine antenatal clinic review in 3 days.

Answer

Discharge home with bed rest advice only.

Answer

Start Thiazide diuretics and continue the pregnancy to term.

Practice question