Question

A 30-year-old G2P1 at 35+2 weeks has BP 162/110 mm Hg, severe headache, 3+ reflexes; platelets 95,000/µL. Best immediate management?

Accepted Answer

IV antihypertensive (labetalol/hydralazine) and magnesium sulfate, plan delivery

Answer

Observation and repeat labs in 24 hours

Answer

Start methyldopa and await 37 weeks

Answer

Aspirin 81 mg and outpatient follow-up

Answer

No magnesium unless seizures occur

Practice question

A 30-year-old G2P1 at 35+2 weeks has BP 162/110 mm Hg, severe headache, 3+ reflexes; platelets 95,000/µL. Best immediate management?