Severe Occipital Headache in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17144

SMLE Question #17144

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 26-year-old primigravida at 34 weeks’ gestation presents with severe occipital headache and visual blurring for 3 hours. While being evaluated in the emergency department, she develops a generalized tonic-clonic seizure lasting about 1 minute, followed by postictal confusion. A urine dipstick performed earlier in clinic showed significant proteinuria. What is the most appropriate immediate next step in management?

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