A 30-year-old primigravida at 30 weeks' gestation presents with blood pressure 158/104 mm Hg, 2+ proteinuria and mild headache. Platelets are normal a...

Question

A 30-year-old primigravida at 30 weeks' gestation presents with blood pressure 158/104 mm Hg, 2+ proteinuria and mild headache. Platelets are normal and there is no right upper quadrant pain. According to SOGC hypertensive disorders of pregnancy guidelines, what is the most appropriate initial management?

Accepted Answer

Start oral labetalol and arrange close monitoring, with consideration of delivery at 37 weeks if stable

Answer

Discharge with home blood pressure monitoring only

Answer

Start ACE inhibitor and continue pregnancy to term

Answer

Immediate induction of labour regardless of gestational age

Answer

Start thiazide diuretic and fluid restriction

ca-mccqe1 MCQ (SBA): Preeclampsia without severe features