A 32-year-old woman at 32 weeks' gestation has headache, visual disturbance and epigastric pain. Blood pressure is 168/112 mmHg, urine

Question

A 32-year-old woman at 32 weeks' gestation has headache, visual disturbance and epigastric pain. Blood pressure is 168/112 mmHg, urine protein:creatinine ratio is raised and platelets are 82 x 10^9/L. What is the most appropriate management?

Accepted Answer

Urgent obstetric assessment with antihypertensive treatment and magnesium sulphate consideration

Answer

Routine community midwife review in 48 hours

Answer

Outpatient neurology referral for migraine assessment

Answer

Oral iron and repeat blood count in 2 weeks

Answer

Reassurance that symptoms are common in late pregnancy

Severe pre-eclampsia — PARA MCQ

A 32-year-old woman at 32 weeks' gestation has headache, visual disturbance and epigastric pain. Blood pressure is 168/112 mmHg, urine protein:creatinine ratio is raised and platelets are 82 x 10^9/L. What is the most appropriate management?