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Preeclampsia with severe features — ABEM Board MCQ

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ModerateOB/GYN emergenciesPreeclampsia with severe featuresABEM Board

A 30-year-old woman at 34 weeks gestation arrives with headache and right upper quadrant pain. Triage acuity is ESI 2; BP 174/112 mm Hg, HR 96/min. Urine protein is positive, platelets are 82,000/microL, and AST is elevated. Fetal movement is present. Which of the following is the most appropriate next step in management?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Give magnesium sulfate and antihypertensive therapy with obstetric consultation

Preeclampsia with severe features requires seizure prophylaxis with magnesium, blood pressure control, and urgent obstetric management.

Reference: ACOG hypertension in pregnancy guidance