Question

A 30-year-old primigravida at 34 weeks’ gestation presents with severe headache, visual disturbance, right upper quadrant pain, and generalised oedema. BP is 170/115 mmHg and urinalysis shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

Urgent admission, IV labetalol, magnesium sulphate, and obstetric review

Answer

Reassure and review in 1 week

Answer

Start oral labetalol and manage in the community

Answer

Start methyldopa and arrange routine antenatal follow-up

Answer

Advise bed rest at home and fluid restriction

Practice question

A 30-year-old primigravida at 34 weeks’ gestation presents with severe headache, visual disturbance, right upper quadrant pain, and generalised oedema. BP is 170/115 mmHg and urinalysis shows 3+ protein. What is the most appropriate immediate management?