A 30-year-old pregnant woman at 34 weeks' gestation presents with severe headache, visual disturbances and epigastric pain. Blood pressure is 170/110 ...

Question

A 30-year-old pregnant woman at 34 weeks' gestation presents with severe headache, visual disturbances and epigastric pain. Blood pressure is 170/110 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

IV antihypertensives and magnesium sulfate, with urgent obstetric review for possible delivery

Answer

Oral labetalol only and review in 1 week

Answer

No treatment until after 37 weeks

Answer

Start ACE inhibitor for blood pressure control

Answer

Encourage increased salt intake

au-amc MCQ (SBA): Pre-eclampsia severe

A 30-year-old pregnant woman at 34 weeks' gestation presents with severe headache, visual disturbances and epigastric pain. Blood pressure is 170/110 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate management?