A 30-year-old primigravida at 33 weeks' gestation presents to the emergency department with a severe headache and visual disturbances. Blood pressure ...

Question

A 30-year-old primigravida at 33 weeks' gestation presents to the emergency department with a severe headache and visual disturbances. Blood pressure is 172/112 mm Hg on repeat manual measurement. Urinalysis shows 3+ protein. The fetus is viable with reassuring monitoring. According to SOGC guidance, what is the most appropriate immediate blood pressure management?

Accepted Answer

Administer intravenous labetalol and admit for further management

Answer

Start oral methyldopa and discharge with close outpatient follow-up

Answer

Start low-dose aspirin and reassess blood pressure in 24 hours

Answer

Commence oral nifedipine sustained-release and plan elective induction at 39 weeks

Answer

Defer antihypertensives to avoid compromising uteroplacental perfusion

ca-mccqe1 MCQ (SBA): Pre-eclampsia with severe features