Tuesday, November 13, 2018
Repeated USMLE Questions Step 2 CK- 267
On Examination, she is unresponsive and difficult to arouse. Her blood pressure is 210/120. There is edema of her face and both hands. Fetal heart rate is 140/min.
What is the next step of management of this patient?
A- Hospitalization and treatment with antihypertensive and epileptic drugs and wait until delivery at term
B- Hospitalization and observation until delivery at term
C- Hospitalization and induction of labor
D- Outpatient treatment and recommend regular visits to the clinic
This pregnant woman has eclampsia. It is diagnosed clinically and characterized by seizures which differentiate it from pre-eclampsia. Treatment of this patient is induction of labor. Other options will lead to danger to both mother and child.
The correct answer is C