A 32-year-old primigravida at 36 weeks gestation presents with a blood pressure of 160/110 mmHg, 3+ proteinuria, persistent headache, and epigastric pain. Deep tendon reflexes are 3+. Fetal heart rate monitoring is reassuring. What is the most appropriate management plan?
✓ Correct Answer: Option B
This patient has severe preeclampsia with severe features (BP >160/110, headache, epigastric pain, hyperreflexia). Given her gestational age and severe features, immediate delivery is indicated, along with magnesium sulfate for seizure prophylaxis.