Question

A 30-year-old primigravida at 35 weeks' gestation presents with persistent headache, visual disturbance and right upper quadrant discomfort. Blood pressure is 162/104 mmHg and there is 3+ proteinuria on dipstick. What is the most appropriate immediate management?

Accepted Answer

Admit to hospital, commence intravenous antihypertensives and magnesium sulphate, and plan for delivery after maternal stabilisation

Answer

Start oral labetalol, arrange close outpatient follow-up

Answer

Advise strict bed rest at home

Answer

No treatment is needed until seizures develop

Answer

Start methyldopa and plan induction at 41 weeks

Practice question

A 30-year-old primigravida at 35 weeks' gestation presents with persistent headache, visual disturbance and right upper quadrant discomfort. Blood pressure is 162/104 mmHg and there is 3+ proteinuria on dipstick. What is the most appropriate immediate management?