A 24-year-old primigravida at 38 weeks with pre-eclampsia without severe features is in active labor. Cervix is 7 cm dilated. Which statement about management is most accurate?
- A Delivery should be delayed until 40 weeks to reduce neonatal complications
- B Expectant management is contraindicated; delivery should occur within 24 hours ✓
- C Magnesium sulfate seizure prophylaxis is not indicated in pre-eclampsia without severe features
- D Induction of labor is indicated only if severe features develop
Correct answer: B. Expectant management is contraindicated; delivery should occur within 24 hours
Explanation
For pre-eclampsia without severe features at or beyond 37 weeks, delivery is recommended (ACOG 2019). Expectant management beyond 37 weeks is not advised due to increasing maternal and fetal risks. Magnesium sulfate prophylaxis is indicated for pre-eclampsia with severe features but is not universally required for non-severe cases, though institutional practices vary. Delaying delivery or waiting for severe features to develop contradicts guidelines.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.