1. Choose from the list the management option that should be used first, and is definitely indicated. Each option may be used once, more than once or not at all.

Possible Answers

For each of the questions below, select the answer which is most appropriate. Each option can be used once, more than once or not at all.

a.) A woman at 32/40 is reviewed in the day assessment unit. She has a blood pressure of 150/90 mmHg and 3+ proteinuria.

Choose from one of the following answersA AdmitB Deliver by caesarean sectionC Give steroidsD Induction of labourE LabetalolF Liver ultrasoundG Magnesium sulphateH Manage as outpatientI MethyldopaJ Renal ultrasound

b.) A woman at 26 weeks with a blood pressure of 140/90 mmHg is seen on the labour ward. She complains of headache and flashing lights. She has no proteinuria on urine dipstick.

Choose from one of the following answersA AdmitB Deliver by caesarean sectionC Give steroidsD Induction of labourE LabetalolF Liver ultrasoundG Magnesium sulphateH Manage as outpatientI MethyldopaJ Renal ultrasound

c.) A pre-eclamptic woman in hospital at 36 weeks has a transient grand mal seizure.

Choose from one of the following answersA AdmitB Deliver by caesarean sectionC Give steroidsD Induction of labourE LabetalolF Liver ultrasoundG Magnesium sulphateH Manage as outpatientI MethyldopaJ Renal ultrasound

d.) A woman has been admitted to hospital at 33/40 with a blood pressure of 170/100 mmHg and 3+ proteinuria. There is no evidence of fetal compromise.

Choose from one of the following answersA AdmitB Deliver by caesarean sectionC Give steroidsD Induction of labourE LabetalolF Liver ultrasoundG Magnesium sulphateH Manage as outpatientI MethyldopaJ Renal ultrasound

e.) A woman is admitted at 32 weeks of pregnancy with a blood pressure of 180/100 mmHg, which is controlled with a labetalol infusion. She has been given magnesium sulphate. She complains of reduced fetal movements and the CTG is pathological.

Choose from one of the following answersA AdmitB Deliver by caesarean sectionC Give steroidsD Induction of labourE LabetalolF Liver ultrasoundG Magnesium sulphateH Manage as outpatientI MethyldopaJ Renal ultrasound

f.) A woman is seen for her 41-week check. Her blood pressure has consistently been 140/90 mmHg for the last 3 weeks; her booking blood pressure was 100/60 mmHg.

Choose from one of the following answersA AdmitB Deliver by caesarean sectionC Give steroidsD Induction of labourE LabetalolF Liver ultrasoundG Magnesium sulphateH Manage as outpatientI MethyldopaJ Renal ultrasound