A 28-year-old gravida 1 at 35 weeks has BP 168/112 mm Hg, new proteinuria, and persistent headache. Platelets 145,000/µL, creatinine 1.2 mg/dL. Next b...

Question

A 28-year-old gravida 1 at 35 weeks has BP 168/112 mm Hg, new proteinuria, and persistent headache. Platelets 145,000/µL, creatinine 1.2 mg/dL. Next best management?

Accepted Answer

Magnesium sulfate for seizure prophylaxis and plan delivery ≥34 weeks

Answer

Outpatient oral labetalol and follow-up

Answer

Expectant management to 37 weeks

Answer

Start ACE inhibitor for BP control

Answer

Delay magnesium; start nifedipine only

us-abfm MCQ (SBA): Severe Preeclampsia (>=34 wks)

A 28-year-old gravida 1 at 35 weeks has BP 168/112 mm Hg, new proteinuria, and persistent headache. Platelets 145,000/µL, creatinine 1.2 mg/dL. Next best management?