Q. A 28-year-old female presents to the emergency department at 25 weeks gestation with a history of severe headache and vomiting. She has chronic hypertension, but did not receive any antihypertensive treatment during pregnancy. On physical examination, her blood pressure is found to be 170/100 mm Hg and she is noted to have bilateral pitting edema. The fetal heart rate is 150/min. During your initial evaluation, the patient develops a tonic-clonic seizure lasting for about 1 minute, followed by loss of consciousness. During the course of the seizure, the fetal heart rate monitor (FHR) revealed a sudden and sustained drop in the heart rate to 70/min, lasting for approximately 10 minutes. The fetal scalp stimulation test was performed which confirmed fetal scalp pH > 7.25. Repeat FHR monitoring showed a return of FHR to baseline 150/min with a normal pattern. Following completion of her seizure, which of the following is the next best step in the care of this patient?

Log In or Start Your Free Trial
to view the answer.