Question

A 31-year-old primigravida at 36 weeks’ gestation presents with a severe frontal headache, visual disturbances and right upper quadrant pain. Blood pressure is 170/110 mmHg and urine dipstick shows 3+ protein. Reflexes are brisk. What is the most appropriate immediate management?

Accepted Answer

Admit, start intravenous Magnesium sulphate and antihypertensive therapy, and involve obstetrics urgently

Answer

Discharge home with oral Labetalol

Answer

Start low-dose Aspirin and arrange routine antenatal review

Answer

Offer induction of labour in 2 weeks with no acute treatment

Answer

Advise bed rest at home and monitor blood pressure weekly

Practice question

A 31-year-old primigravida at 36 weeks’ gestation presents with a severe frontal headache, visual disturbances and right upper quadrant pain. Blood pressure is 170/110 mmHg and urine dipstick shows 3+ protein. Reflexes are brisk. What is the most appropriate immediate management?