A 32-year-old woman at 34 weeks' gestation presents with a severe headache, visual disturbance and right upper quadrant pain. Blood pressure is 175/11...

Question

A 32-year-old woman at 34 weeks' gestation presents with a severe headache, visual disturbance and right upper quadrant pain. Blood pressure is 175/110 mmHg and urinalysis shows 3+ protein. She has brisk reflexes. What is the most appropriate immediate pharmacological intervention in addition to blood pressure control and preparation for delivery?

Accepted Answer

Start magnesium sulphate infusion for seizure prophylaxis

Answer

Start oral labetalol only

Answer

Start oral nifedipine only

Answer

Start high-dose aspirin

Answer

No additional therapy is needed beyond antihypertensives

au-racp MCQ (SBA): Severe pre-eclampsia