A 27-year-old G1P0 at 36+2 weeks has new-onset BP 164/112 mmHg on two measurements 15 minutes apart, RUQ pain, and platelets 85,000/µL. Urine protein/...

Question

A 27-year-old G1P0 at 36+2 weeks has new-onset BP 164/112 mmHg on two measurements 15 minutes apart, RUQ pain, and platelets 85,000/µL. Urine protein/creatinine 0.2. Best immediate management?

Accepted Answer

Magnesium sulfate for seizure prophylaxis and proceed to delivery

Answer

Outpatient monitoring and repeat BP in 48 hours

Answer

Start labetalol and plan delivery after 37 weeks

Answer

Start nifedipine and bed rest until term

Answer

Expectant management until urine protein ≥0.3

us-usmle-step-2 MCQ (SBA): Preeclampsia with Severe Features

A 27-year-old G1P0 at 36+2 weeks has new-onset BP 164/112 mmHg on two measurements 15 minutes apart, RUQ pain, and platelets 85,000/µL. Urine protein/creatinine 0.2. Best immediate management?