A 34-year-old primigravida at 37 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, severe headache and visual disturbances....

Question

A 34-year-old primigravida at 37 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, severe headache and visual disturbances. Platelets are 90 × 10⁹/L and liver enzymes are elevated. What is the most appropriate management?

Accepted Answer

Immediate delivery after maternal stabilisation and magnesium sulphate

Answer

Outpatient monitoring with weekly blood pressure checks

Answer

Start oral labetalol and continue pregnancy to 40 weeks

Answer

Delay delivery until 39 weeks to allow fetal lung maturation

Answer

Treat with bed rest alone until blood pressure improves

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

A 34-year-old primigravida at 37 weeks' gestation presents with blood pressure 168/112 mm Hg, 3+ proteinuria, severe headache and visual disturbances. Platelets are 90 × 10⁹/L and liver enzymes are elevated. What is the most appropriate management?