A 34-year-old primigravida at 36 weeks’ gestation has severe headache, visual disturbances and epigastric pain. BP is 170/115 mmHg, and there is 3+ pr...

Question

A 34-year-old primigravida at 36 weeks’ gestation has severe headache, visual disturbances and epigastric pain. BP is 170/115 mmHg, and there is 3+ proteinuria on dipstick. What is the most appropriate immediate management?

Accepted Answer

Admit urgently, start IV Magnesium Sulfate and antihypertensives and involve obstetrics

Answer

Reassure and review in antenatal clinic next week

Answer

Start oral Labetalol only and send home

Answer

Arrange elective caesarean section at 40 weeks without further treatment

Answer

Start Aspirin 75 mg

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

A 34-year-old primigravida at 36 weeks’ gestation has severe headache, visual disturbances and epigastric pain. BP is 170/115 mmHg, and there is 3+ proteinuria on dipstick. What is the most appropriate immediate management?