Question

A 32-year-old at 34 weeks' gestation has preeclampsia with severe features (BP 168/112 mmHg persistent after 15 minutes, headache). Best immediate management?

Accepted Answer

Start IV labetalol or hydralazine and give magnesium sulfate

Answer

Start nifedipine ER only and plan delivery at 39 weeks

Answer

Expectant management until 37 weeks

Answer

Start ACE inhibitor for rapid BP control

Answer

Withhold magnesium to avoid hypotonia in the neonate

Practice question

A 32-year-old at 34 weeks' gestation has preeclampsia with severe features (BP 168/112 mmHg persistent after 15 minutes, headache). Best immediate management?