Question

A 35-week pregnant patient presents with BP 170/112 mm Hg, headache, and 3+ reflexes. Platelets 95,000/µL, AST 120 U/L, creatinine 1.3 mg/dL, and urine protein/creatinine ratio 0.6. Fetal testing is reassuring. What is the most appropriate management?

Accepted Answer

Magnesium sulfate for seizure prophylaxis and deliver

Answer

Outpatient monitoring and repeat labs in 48 hours

Answer

Start labetalol and postpone delivery to 37 weeks

Answer

Administer betamethasone and discharge

Answer

Restrict fluids and observe until pressures improve

Practice question

A 35-week pregnant patient presents with BP 170/112 mm Hg, headache, and 3+ reflexes. Platelets 95,000/µL, AST 120 U/L, creatinine 1.3 mg/dL, and urine protein/creatinine ratio 0.6. Fetal testing is reassuring. What is the most appropriate management?