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Eclampsia — ABEM Board MCQ

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HardOB/GYN emergenciesEclampsiaABEM Board

A 29-year-old woman at 32 weeks' gestation arrives as ESI 1 actively seizing. BP 184/112, HR 120, and urine protein is positive. Fetal heart tones are present. Which of the following is the most appropriate initial action?

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Correct answer: AAdminister magnesium sulfate and treat severe hypertension

Eclampsia is treated first with magnesium sulfate for seizure control plus treatment of severe-range blood pressure and obstetric consultation.

Reference: ACOG Practice Bulletin: Gestational Hypertension and Preeclampsia