Question

A 28-year-old woman at 30 weeks' gestation presents with severe headache, visual disturbance and epigastric pain. Blood pressure in the obstetric assessment unit is 170/110 mmHg, with 3+ protein on dipstick. Reflexes are brisk. Which is the most appropriate immediate management?

Accepted Answer

Administer intravenous magnesium sulfate and urgently arrange transfer to a facility with obstetric and neonatal intensive care

Answer

Discharge with close GP follow-up and repeat blood pressure in 48 hours

Answer

Start oral methyldopa and review in 1 week

Answer

Perform elective caesarean section immediately without further stabilisation

Answer

Prescribe oral diazepam for headache and anxiety

Practice question

A 28-year-old woman at 30 weeks' gestation presents with severe headache, visual disturbance and epigastric pain. Blood pressure in the obstetric assessment unit is 170/110 mmHg, with 3+ protein on dipstick. Reflexes are brisk. Which is the most appropriate immediate management?