Question

A 29-year-old primigravida at 35 weeks’ gestation presents with a severe frontal headache, visual disturbance, right upper quadrant abdominal pain, and generalised oedema. Her blood pressure is 170/112 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate management?

Accepted Answer

Admit urgently, start IV Magnesium Sulfate and antihypertensives, and involve obstetrics

Answer

Start oral Labetalol and review in the antenatal clinic next week

Answer

Arrange routine induction of labour at 40 weeks

Answer

Reassure that this is normal in late pregnancy

Answer

Prescribe oral Nifedipine only and send home

Practice question

A 29-year-old primigravida at 35 weeks’ gestation presents with a severe frontal headache, visual disturbance, right upper quadrant abdominal pain, and generalised oedema. Her blood pressure is 170/112 mmHg and urine dipstick shows 3+ protein. What is the most appropriate immediate management?