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Obstetrics

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Question 1 [1 mark]

A 31-year-old nulliparous woman at 33 weeks' gestation attends the antenatal day assessment unit after her community midwife found a raised blood pressure. She has no headache, visual disturbance or epigastric pain. She has asthma and uses a salbutamol inhaler most days. Blood pressure is 166/112 mmHg, and 164/110 mmHg when repeated 15 minutes later. Urine protein:creatinine ratio is 72 mg/mmol (below 15). Reflexes are normal with no clonus. The fetal heart rate is normal on cardiotocography. She has not had a seizure.

What is the most appropriate initial action?

Demo · PLAB 1

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