A 34-year-old at 35 weeks' gestation presents with severe-range BP 168/112 mm Hg, headache, RUQ pain, and 3+ reflexes. Platelets 90,000/µL, AST 88 U/L...

Question

A 34-year-old at 35 weeks' gestation presents with severe-range BP 168/112 mm Hg, headache, RUQ pain, and 3+ reflexes. Platelets 90,000/µL, AST 88 U/L, protein/creatinine ratio 0.5. Best next step?

Accepted Answer

Administer magnesium sulfate and proceed to delivery

Answer

Expectant management until 37 weeks

Answer

Start labetalol and discharge with close follow-up

Answer

Start ACE inhibitor for BP control

Answer

Give high-dose aspirin

us-abfm MCQ (SBA): Preeclampsia With Severe Features

A 34-year-old at 35 weeks' gestation presents with severe-range BP 168/112 mm Hg, headache, RUQ pain, and 3+ reflexes. Platelets 90,000/µL, AST 88 U/L, protein/creatinine ratio 0.5. Best next step?