A 32-year-old primigravida at 36 weeks' gestation presents with blood pressure 170/110 mmHg, 3+ proteinuria and headache. She has brisk reflexes. What...

Question

A 32-year-old primigravida at 36 weeks' gestation presents with blood pressure 170/110 mmHg, 3+ proteinuria and headache. She has brisk reflexes. What is the most appropriate immediate management?

Accepted Answer

Admit for urgent blood pressure control and magnesium sulphate for seizure prophylaxis

Answer

Discharge home with oral labetalol and review in 1 week

Answer

Start long-term methyldopa as the only therapy

Answer

Advise bed rest at home only

Answer

Delay any treatment until spontaneous labour occurs

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

A 32-year-old primigravida at 36 weeks' gestation presents with blood pressure 170/110 mmHg, 3+ proteinuria and headache. She has brisk reflexes. What is the most appropriate immediate management?