A 34-year-old G1P0 at 36 weeks gestation presents with new-onset blood pressure of 165/105 mmHg, 3+ proteinuria, persistent headache, and epigastric pain. Deep tendon reflexes are 3+. What is the most appropriate immediate management?

The correct answer to the question "A 34-year-old G1P0 at 36 weeks gestation presents with new-onset blood pressure of 165/105 mmHg, 3+ proteinuria, persistent headache, and epigastric pain. Deep tendon reflexes are 3+. What is the most appropriate immediate management?" is Option B: Administer magnesium sulfate and prepare for delivery.

The other options — A) Initiate oral labetalol and admit for observation, C) Order a 24-hour urine collection for protein and serial blood pressure monitoring, D) Start intravenous hydralazine for blood pressure control only — are incorrect for this USMLE Exam Prep question. As explained above: This patient has pre-eclampsia with severe features. Immediate management includes seizure prophylaxis with magnesium sulfate and preparation for delivery, as delivery is the definitive treatment. Bl…