Question

A 35-week pregnant patient has BP 170/112 mmHg, severe headache, and AST/ALT >2x normal. Platelets 105,000/µL. What is the most appropriate management?

Accepted Answer

Magnesium sulfate not indicated; defer delivery

Answer

Outpatient observation and repeat BP in 48 h

Answer

Strict bed rest and oral nifedipine until 37 weeks

Answer

IV labetalol and delay delivery until 39 weeks

Answer

Start magnesium sulfate and plan delivery after maternal stabilization

Practice question

A 35-week pregnant patient has BP 170/112 mmHg, severe headache, and AST/ALT >2x normal. Platelets 105,000/µL. What is the most appropriate management?