A 30-year-old woman at 37 weeks’ gestation presents with a blood pressure of 170/115 mmHg, 3+ proteinuria, headache and visual disturbance. Reflexes a...

Question

A 30-year-old woman at 37 weeks’ gestation presents with a blood pressure of 170/115 mmHg, 3+ proteinuria, headache and visual disturbance. Reflexes are brisk. Foetal movements are normal. What is the most appropriate immediate management?

Accepted Answer

Admit urgently, start intravenous Labetalol, Magnesium sulphate and arrange urgent delivery

Answer

Start oral Labetalol in the community and review in 1 week

Answer

Reassure, as this is normal in late pregnancy

Answer

Start Methyldopa and discharge

Answer

Delay treatment until 40 weeks’ gestation unless symptoms worsen

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

A 30-year-old woman at 37 weeks’ gestation presents with a blood pressure of 170/115 mmHg, 3+ proteinuria, headache and visual disturbance. Reflexes are brisk. Foetal movements are normal. What is the most appropriate immediate management?