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Eclampsia at home — DipIMC MCQ

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HardPaediatric and Obstetric EmergenciesEclampsia at homeDipIMC

A 24-year-old at 34 weeks' gestation has a generalised seizure at home after severe headache and visual symptoms. Blood pressure is 178/112 mmHg, she is post-ictal, and there is ankle clonus. What is the most appropriate drug/dose?

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Correct answer: C — Magnesium sulfate 4 g IV over 5-10 minutes if within scope

Eclampsia is treated with magnesium sulfate to prevent and treat further seizures, alongside ABC care and urgent obstetric transfer. Benzodiazepines are not first-line for eclamptic seizures once magnesium is available. Antihypertensive therapy and delivery planning occur on the obstetric pathway.

Reference: JRCALC maternity guidance; NICE hypertension in pregnancy guidance