Pre Eclampsia

Option List:
A. Start oral labetalol, measure BP test for proteinuria twice a week, blood tests now and weekly
B. Admit, start oral labetalol, measure BP twice a week as outpatient, test for proteinuria weekly
C. Start oral labetalol, measure BP and test for proteinuria weekly, blood tests twice a week
D. Admit, measure BP every 30 minutes, do not repeat quantification of proteinuria, RFT, full blood count and liver enzymes three times a week
E. Start iv magnesium sulphate
F. Admit, measure BP 4 times daily, do not repeat quantification of proteinuria, RFT and liver enzymes two times a week
G. Admit, start IV magnesium sulphate
H. None of the above.
Each of the following scenarios describes various scenarios of woman with preeclampsia. For each patient select the single most appropriate management from the list above. Each option may be used once, more than once or not at all.

1. A primigravida at 35 weeks presents with persistent blood pressure of 145/95 mmHg, urine dipstick- trace.

2. A pregnant woman 36 weeks, admitted with blood pressure 160/100 mmHg, urine dipstick- trace and continuous severe headache

3. A primigravida at 35 weeks presents with blood pressure 160/110 mmHg, 1+ proteinuria

Option List:
A. Specialist kidney assessment at 3 months
B. Review at 3 months to assess kidney function
C. Repeat blood test as clinically indicated
D. Do not repeat blood test
E. Add antihypertensives
F. A medical review with GP or specialist at 2 weeks after transfer to community
G. A medical review with GP or specialist at 6 weeks after birth
H. None of the above
Each of the following scenarios describes various scenarios in postpartum woman with preeclampsia.
For each patient select the single most appropriate management from the list above. Each option may be used once, more than once or not at all.

4. A woman had preeclampsia, postpartum her BP is 140/88 mmHg on enalapril and transferred to the community.

5. A woman had preeclampsia, postpartum her BP is 140/88 mmHg on enalapril and transferred to the community. At 6 weeks her BP is controlled without medication but proteinuria 2+.

6. A woman had preeclampsia, 2 days after delivery her platelets, transaminases and serum creatinine are normal.