A 29-year-old woman at 38 weeks' gestation with pre-eclampsia with severe features (blood pressure 170/115 mmHg, headache, visual disturbance) present...

Question

A 29-year-old woman at 38 weeks' gestation with pre-eclampsia with severe features (blood pressure 170/115 mmHg, headache, visual disturbance) presents to the labour ward. What is the most appropriate immediate management?

Accepted Answer

Administer magnesium sulphate and intravenous antihypertensives and plan for expedited delivery

Answer

Start oral labetalol and observe

Answer

Provide bed rest only and reassess in 24 hours

Answer

Delay delivery until 40 weeks' gestation

Answer

Treat with high-dose oral nifedipine alone and discharge home

ca-mccqe1 MCQ (SBA): Severe pre-eclampsia management

A 29-year-old woman at 38 weeks' gestation with pre-eclampsia with severe features (blood pressure 170/115 mmHg, headache, visual disturbance) presents to the labour ward. What is the most appropriate immediate management?