Question

A 28-year-old woman at 32 weeks' gestation presents with a blood pressure of 158/102 mmHg and 2+ protein on dipstick. She complains of a frontal headache and visual disturbance. What is the most appropriate immediate management?

Accepted Answer

Admit to hospital, commence IV magnesium sulfate and antihypertensives and arrange urgent obstetric assessment

Answer

Discharge home with BP review in one week

Answer

Start oral labetalol and review in two weeks

Answer

Induce labour immediately regardless of fetal status

Answer

Start high-dose oral ACE inhibitor

Practice question

A 28-year-old woman at 32 weeks' gestation presents with a blood pressure of 158/102 mmHg and 2+ protein on dipstick. She complains of a frontal headache and visual disturbance. What is the most appropriate immediate management?