A 35-year-old primigravida at 32 weeks’ gestation presents with headache, visual disturbance and swelling of hands and face. BP is 168/106 mmHg and ur...

Question

A 35-year-old primigravida at 32 weeks’ gestation presents with headache, visual disturbance and swelling of hands and face. BP is 168/106 mmHg and urinalysis shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

Admit, start intravenous Magnesium Sulfate and oral Labetalol, and arrange urgent obstetric review.

Answer

Discharge with oral Labetalol and review in 1 week.

Answer

Start oral Methyldopa only and arrange community midwife review.

Answer

Offer immediate induction of labour without pharmacological treatment.

Answer

Advise bed rest at home with home BP monitoring.

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

A 35-year-old primigravida at 32 weeks’ gestation presents with headache, visual disturbance and swelling of hands and face. BP is 168/106 mmHg and urinalysis shows 3+ protein. What is the most appropriate immediate management?