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Eclampsia — DipIMC MCQ

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HardPaediatric and Obstetric EmergenciesEclampsiaDipIMC

A 36-week pregnant patient with eclampsia has received magnesium sulfate. She remains severely hypertensive at 178/112 mmHg but has no ongoing seizure. Which concurrent management principle is most appropriate?

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

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Correct answer: BTreat severe hypertension under obstetric protocol while continuing magnesium care

The best answer is “Treat severe hypertension under obstetric protocol while continuing magnesium care”. Magnesium sulfate prevents and treats eclamptic seizures but does not replace treatment of severe hypertension. Severe blood pressure elevation requires urgent protocol-led obstetric treatment while ABC care, magnesium monitoring and transfer continue. Sedation and diuretics are not routine primary antihypertensive therapy, and neither clinical improvement nor magnesium administration permits cessation of monitoring.

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