A 34 year old primigravida at 36 weeks has blood pressure 160 over 110 mmHg, 3 plus protein on urine dipstick, headache and visual disturbance. Reflex...

Question

A 34 year old primigravida at 36 weeks has blood pressure 160 over 110 mmHg, 3 plus protein on urine dipstick, headache and visual disturbance. Reflexes are brisk. What is the most appropriate immediate management priority?

Accepted Answer

Admit urgently, start antihypertensives and give intravenous Magnesium sulphate

Answer

Send home with oral labetalol and review in a week

Answer

Start oral nifedipine only in the community

Answer

Delay treatment until a 24 hour urinary protein collection is available

Answer

Reassure that this is normal in late pregnancy

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

A 34 year old primigravida at 36 weeks has blood pressure 160 over 110 mmHg, 3 plus protein on urine dipstick, headache and visual disturbance. Reflexes are brisk. What is the most appropriate immediate management priority?