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Preeclampsia with severe features — USMLE Step 3 MCQ

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HardOB/GYN (prenatal care, contraception, screening)Preeclampsia with severe featuresUSMLE Step 3

A 35-year-old woman at 35 weeks' gestation has blood pressure 168/112 mm Hg, headache, visual symptoms, and platelets 92,000/mm3. Fetal testing is reassuring. She has received initial antihypertensive therapy. 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: D — Administer magnesium sulfate and proceed toward delivery

Preeclampsia with severe features at or beyond 34 weeks generally requires seizure prophylaxis and delivery after maternal stabilisation.

Reference: ACOG Gestational Hypertension and Preeclampsia Practice Bulletin