A 29-year-old woman presents at 30 weeks’ gestation with headache, visual disturbance and right upper quadrant pain. BP is 168/112 mmHg and urinalysis...

Question

A 29-year-old woman presents at 30 weeks’ gestation with headache, visual disturbance and right upper quadrant pain. BP is 168/112 mmHg and urinalysis shows 3+ protein. Reflexes are brisk. What is the most appropriate immediate management?

Accepted Answer

Admit urgently, start IV labetalol and magnesium sulphate, and involve obstetrics

Answer

Start oral nifedipine only

Answer

Reassure and review in 1 week

Answer

Start methyldopa in the community

Answer

Discharge with bed rest at home

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

A 29-year-old woman presents at 30 weeks’ gestation with headache, visual disturbance and right upper quadrant pain. BP is 168/112 mmHg and urinalysis shows 3+ protein. Reflexes are brisk. What is the most appropriate immediate management?