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Pre-eclampsia — DRCOG MCQ

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HardAntenatal CarePre-eclampsiaDRCOG

A 29-year-old woman at 33 weeks' gestation presents with headache, flashing lights and epigastric pain. Her blood pressure is 164/112 mmHg and urine dipstick shows 3+ protein. What is the most appropriate management?

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Correct answer: E — Arrange immediate emergency maternity assessment

This is severe hypertension with symptoms and proteinuria suggestive of severe pre-eclampsia, requiring immediate hospital assessment. Delayed review risks maternal seizure, stroke and fetal compromise. Treating this as a urinary infection misses the hypertensive emergency. Primary care should not manage this presentation with routine monitoring.

Reference: NICE NG133