This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Obstetrics, Subject name: Gynaecology & Obstetrics
[{'content': '35 week multigravida presenting with epigastric pain, headache, visual symptoms, proteinuria 3+. What is the first step/next of management? \nSelect and explain. \nA. Immediate caesarean, B. Betamethasone for fetal lung maturity, C. Induction of labour for vaginal delivery, D. Sta MgSO4 therapy', 'role': 'user'}, {'content': "Answer: D \nExplanation: Severe hypeension / preeclamptic toxemia (imminent eclampsia) is- - Hypeension with :- Headache Visual symptoms Epigastric pain Proteinuria > 300 mg/ 24 hr. urine Protein: creatine ratio >= 0.3 1st step of RX :- MgSo4 - IM + IV (Pritchard's regimen) This is followed by termination of pregnancy (Definitive treatment)", 'role': 'assistant'}]