A 29-year-old primigravida at 38 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, severe headache, and right upper quadran...

Question

A 29-year-old primigravida at 38 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, severe headache, and right upper quadrant pain. Platelets are 85 ×10⁹/L and ALT is twice normal. What is the most appropriate management?

Accepted Answer

Admit, start IV Magnesium sulphate and antihypertensives, and plan urgent delivery

Answer

Outpatient monitoring with lab tests twice weekly

Answer

Start Methyldopa and continue pregnancy to 40 weeks

Answer

Start low-dose Aspirin and recheck blood pressure in 1 week

Answer

No treatment is necessary until seizures occur

ca-mccqe1 MCQ (SBA): Severe pre-eclampsia/HELLP

A 29-year-old primigravida at 38 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, severe headache, and right upper quadrant pain. Platelets are 85 ×10⁹/L and ALT is twice normal. What is the most appropriate management?