another Q on mid preeclampsia. - methotrexate

[ArchivalUser]

34 year old women has chronic hypertension well controlled in range of 120-130systolic.she now presents at 35wk gestation with bp of 145/86.24hr urine shows 350mg of proteinuria.most appropriate next step
-prepare for emergent delivery.
-restricted activity and close monitoring as an outpatient following initial inpatient evaluation.
-start hydralazine

i think answer is emergent delivery as it is a case of chr hyoertension with superimposed mild preeclampsia.fetal lungs are mature by 34wks so no need to keep the preg going but the key says rest activity n close monitoring as answer.
somebody pls explain.

[ArchivalUser]

i think the ans is
restricted activity and close monitoring..coz there are no signs of severe preeclampsia or impending eclampsia to warrant emergent delivery dbp

[ArchivalUser]

treatment of both mild n severe preeclampsia is delivery once fetal lungs r mature.this is what i think.somebody pls help.exam in few days.

[ArchivalUser]

this is a case of mild preeclampsia post 34 wks.
Before 37 wks we go for conservative mgmt as far as possible.
Only after 37 weeks or during monitoring 34-37 wks if any complication occurs we deliver.
so second option is tempting.

Good luck methotrexate.