28-year-old G2p1 in Patient Safety, Preventive & Ethics — Case | Ethics | SMLE Q#17642
SMLE Question #17642
Patient Safety, Preventive & Ethics
Ethics
Objective: OBJ-243
Last updated: February 2026
A 28-year-old G2P1 at 30 weeks’ gestation has 2 days of severe headache and visual blurring. Examination shows brisk deep tendon reflexes and 2+ pitting edema. Investigations show thrombocytopenia, elevated transaminases, proteinuria, and impaired renal function. The obstetric team recommends urgent delivery due to high maternal risk, but the patient and her husband refuse. The patient is alert, oriented, and can clearly explain her decision. What is the most appropriate next step?
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