A 31-year-old woman at 34 weeks gestation arrives as triage level 1 after a generalized seizure. BP is 178/112 mm Hg, urine protein is positive,

Question

A 31-year-old woman at 34 weeks gestation arrives as triage level 1 after a generalized seizure. BP is 178/112 mm Hg, urine protein is positive, platelets are 92,000/microL, and she is postictal. Which of the following is the most appropriate initial action?

Accepted Answer

IV magnesium sulfate and treatment of severe hypertension

Answer

CT head before magnesium in every case

Answer

Oral labetalol alone

Answer

Immediate discharge after seizure resolution

Answer

Fosphenytoin as first-line seizure prophylaxis

Eclampsia — ABEM Board MCQ

A 31-year-old woman at 34 weeks gestation arrives as triage level 1 after a generalized seizure. BP is 178/112 mm Hg, urine protein is positive, platelets are 92,000/microL, and she is postictal. Which of the following is the most appropriate initial action?