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Pre-eclampsia — DRCOG MCQ

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HardAntenatal CarePre-eclampsiaDRCOG

At 34 weeks, a 19-year-old has headache, flashing lights, BP 158/102 mmHg and 2+ protein on dipstick. She is alert and fetal movements are present. Which action should the GP take?

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Correct answer: A — Arrange immediate same-day maternity assessment for suspected pre-eclampsia

The best answer is “Arrange immediate same-day maternity assessment for suspected pre-eclampsia”. Neurological symptoms, hypertension and proteinuria suggest pre-eclampsia and require immediate maternity assessment, even though the pressure is just below the severe-hypertension threshold. The maternity team must assess maternal bloods, quantified proteinuria, fetal wellbeing and need for treatment or birth. Primary-care observation or late aspirin initiation delays time-critical care.

Reference: NICE NG133: Hypertension in pregnancy: https://www.nice.org.uk/guidance/ng133/chapter/recommendations