A 29-year-old woman at 38 weeks' gestation presents with new-onset headache, visual disturbance and right upper quadrant pain. Her blood pressure is 1...

Question

A 29-year-old woman at 38 weeks' gestation presents with new-onset headache, visual disturbance and right upper quadrant pain. Her blood pressure is 170/110 mmHg and urinalysis shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

Arrange urgent induction of labour in a tertiary setting after stabilisation

Answer

Start oral labetalol in the community and review in 48 hours

Answer

Give oral nifedipine and discharge home

Answer

Advise bed rest and increased oral fluids

Answer

Delay delivery until 41 weeks to allow fetal maturation

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

A 29-year-old woman at 38 weeks' gestation presents with new-onset headache, visual disturbance and right upper quadrant pain. Her blood pressure is 170/110 mmHg and urinalysis shows 3+ protein. What is the most appropriate immediate management?