A female of 36 weeks gestation presents with hypertension, blurring of vision and headache. Her blood pressure reading was 180/120 mm Hg and 174/110 mm Hg after 20 minutes. How will you manage the patient?
(A) Admit the patient and observe (B) Admit the patient, start antihypertensives and continue pregnancy till term. (C) Admit the patient, start antihypertensives, MgSO4 and terminate the pregnancy (D) Admit oral antihypertensives and follow up in out-patient department
(C) In the question, patient is pres enting with

Headache
Blurring of vision
B/P = 180/120 mm of Hg (later 174/110 mm of Hg)

i.e. she is a case of severe pregnancy induced hypertension.
First step in the management of this case would be to prevent seizures i.e. give MgSO4.
Her B/P should be controlled with antihypertensive and since pregnancy is >34 weeks, therefore terminate pregnancy (which is the definitive management).