Question

A 34-year-old woman at 37 weeks' gestation presents with severe headache, visual disturbance and right upper quadrant pain. Blood pressure is 170/110 mmHg and urine dipstick shows 3+ protein. Reflexes are brisk. What is the most appropriate immediate management?

Accepted Answer

Admit to hospital, commence intravenous antihypertensives and magnesium sulphate, and plan expedited delivery

Answer

Start oral labetalol and discharge with close outpatient follow-up

Answer

Observe without treatment as this is normal in late pregnancy

Answer

Start ACE inhibitor therapy and await spontaneous labour

Answer

Recommend bed rest at home and recheck blood pressure in 1 week

Practice question

A 34-year-old woman at 37 weeks' gestation presents with severe headache, visual disturbance and right upper quadrant pain. Blood pressure is 170/110 mmHg and urine dipstick shows 3+ protein. Reflexes are brisk. What is the most appropriate immediate management?