Question

A 30 year old primigravida at 34 weeks gestation presents with a 3 day history of headache and visual disturbance. Her blood pressure is 168 over 112 mmHg and urinalysis shows 3 plus protein. She has generalised hyperreflexia but no seizures. What is the most appropriate initial management?

Accepted Answer

Admit, give intravenous Labetalol and consider Magnesium Sulfate for seizure prophylaxis

Answer

Discharge with oral Labetalol and review in one week

Answer

Perform an immediate emergency Caesarean section without further assessment

Answer

Start oral Nifedipine as an outpatient and arrange obstetric clinic review

Answer

Reassure that this is normal in late pregnancy

Practice question

A 30 year old primigravida at 34 weeks gestation presents with a 3 day history of headache and visual disturbance. Her blood pressure is 168 over 112 mmHg and urinalysis shows 3 plus protein. She has generalised hyperreflexia but no seizures. What is the most appropriate initial management?