Question

A 29-year-old primigravida at 38 weeks’ gestation presents with persistent headache, visual disturbances and right upper quadrant pain. Her blood pressure is 168/112 mmHg and urinalysis shows +++ protein. What is the most appropriate immediate management?

Accepted Answer

Admit urgently, start intravenous magnesium sulphate and antihypertensive therapy, and involve obstetrics for expedited delivery

Answer

Start oral labetalol in the community and review in 1 week

Answer

Reassure and arrange routine antenatal follow-up

Answer

Start low-dose aspirin only

Answer

Discharge with oral nifedipine and no further action

Practice question

A 29-year-old primigravida at 38 weeks’ gestation presents with persistent headache, visual disturbances and right upper quadrant pain. Her blood pressure is 168/112 mmHg and urinalysis shows +++ protein. What is the most appropriate immediate management?