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.