A 30-year-old primigravida at 37 weeks gestation presents with a blood pressure of 150/95 mmHg and 1+ proteinuria. She denies headache, visual disturbances, or epigastric pain. Fetal monitoring is reassuring. What is the recommended next step in management?
- A Immediate delivery ✓
- B Expectant management until 40 weeks
- C Start labetalol and wait for 39 weeks
- D Outpatient monitoring twice weekly
Correct answer: A. Immediate delivery
Explanation
Delivery is the definitive treatment for pre-eclampsia. According to ACOG and Williams Obstetrics, women with pre-eclampsia without severe features should be delivered at 37 weeks of gestation. Expectant management beyond 37 weeks increases maternal and fetal risks without proven benefit.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.