A 31-year-old at 34 weeks' gestation presents with headache, visual scotomata and right upper quadrant pain. Blood pressure is 172/112 mmHg,

Question

A 31-year-old at 34 weeks' gestation presents with headache, visual scotomata and right upper quadrant pain. Blood pressure is 172/112 mmHg, platelets are 88 x 10^9/L and AST is 96 U/L. Fetal heart rate is 150/min. What is the most appropriate initial management?

Accepted Answer

Give IV magnesium sulfate, treat severe hypertension and involve obstetrics urgently

Answer

Give methotrexate and arrange serial beta-hCG testing

Answer

Discharge with oral acetaminophen and next-week prenatal follow-up

Answer

Perform CT pulmonary angiography before blood pressure treatment

Answer

Give terbutaline and observe for contractions

Severe pre-eclampsia — RCPSC EM MCQ

A 31-year-old at 34 weeks' gestation presents with headache, visual scotomata and right upper quadrant pain. Blood pressure is 172/112 mmHg, platelets are 88 x 10^9/L and AST is 96 U/L. Fetal heart rate is 150/min. What is the most appropriate initial management?