Question

A 28-year-old primigravida at 34 weeks' gestation presents with headache, visual disturbance and right upper quadrant discomfort. Blood pressure is 162/104 mmHg and urinalysis shows 3+ protein. According to Australian pre-eclampsia guidelines, what is the most appropriate immediate management?

Accepted Answer

Admit for blood pressure control, magnesium sulphate if severe features, and consider early delivery after maternal stabilisation

Answer

Outpatient monitoring and repeat BP in one week

Answer

Start oral labetalol and continue pregnancy to term without further intervention

Answer

Start ACE inhibitor for blood pressure control

Answer

No treatment until seizure occurs

Practice question

A 28-year-old primigravida at 34 weeks' gestation presents with headache, visual disturbance and right upper quadrant discomfort. Blood pressure is 162/104 mmHg and urinalysis shows 3+ protein. According to Australian pre-eclampsia guidelines, what is the most appropriate immediate management?