Hypertensive pregnancy disorders practice

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Obstetrics and Gynaecologymiddle twist

A 31-year-old woman at 34 weeks’ gestation presents with a severe frontal headache and flashing lights. Her blood pressure is 176/114 mmHg on two measurements 15 minutes apart, and urine protein is 3+; she has no vaginal bleeding, abdominal pain or seizure activity. Which one of the following should be undertaken first?