A woman at 36 weeks has headache, blood pressure 170/110 mmHg and hyperreflexia. What is the best management?
Answer and explanation
Correct answer: D. Magnesium sulfate for seizure prophylaxis
- Step 1: This indicates severe preeclampsia with a risk of eclampsia. Step 2. Magnesium prevents seizures, the blood pressure must be lowered, and delivery is planned. Answer: magnesium sulfate and antihypertensive. Why not the others: The other options leave the risk of eclampsia and stroke untreated.
Practise more Obstetrics and Gynecology.
Free questions with an explanation for every one, and full timed Revalida (Brazil Medical Diploma Revalidation Exam) mock tests.
More Obstetrics and Gynecology questions
- Which finding defines preeclampsia?
- A woman with a last menstrual period beginning on 10 January wants her estimated due date using Naegele's rule (add 7 days, subtract 3 month…
- A woman has amenorrhoea, a positive hCG, an empty uterus on ultrasound and unilateral pain. She is stable, with a 2 cm mass without fetal he…
- What is the most common cause of postpartum haemorrhage and the first-line uterotonic?
- Which supplement is recommended before conception and in early pregnancy to prevent neural tube defects?
- When is gestational diabetes screened, and with which test?