A 30-year-old primigravida at 36 weeks gestation presents with severe headache, visual disturbance and right upper quadrant pain. Blood pressure is 17...

Question

A 30-year-old primigravida at 36 weeks gestation presents with severe headache, visual disturbance and right upper quadrant pain. Blood pressure is 170/110 mmHg and urinalysis shows 3 plus protein. What is the most appropriate immediate management?

Accepted Answer

Admit urgently, start intravenous Magnesium Sulfate and antihypertensives and involve obstetrics

Answer

Discharge with oral Labetalol and review in 1 week

Answer

Advise increased oral fluid intake and observation at home

Answer

Schedule induction at 41 weeks without acute treatment

Answer

Start low-dose Aspirin only

uk-plab-1 MCQ (SBA): Severe pre-eclampsia

A 30-year-old primigravida at 36 weeks gestation presents with severe headache, visual disturbance and right upper quadrant pain. Blood pressure is 170/110 mmHg and urinalysis shows 3 plus protein. What is the most appropriate immediate management?