This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
A pregnant lady presented with 32 weeks of gestation with abdominal pain, elevated BP (160/110 mmHg), with proteinuria and retinal haemorrhage. Next step of management is: 
Select and explain. 
A. Ritodrine, B. Nifedipine, C. Magnesium sulphates, D. Termination of pregnancy
D: Termination of pregnancy
Answer: D: Termination of pregnancy 
Explanation: HELLP syndrome is a form of severe preeclampsia. HELLP develops in 10-20% of women with preeclampsia/eclampsia. Signs and symptoms include abdominal pain, commonly occurring in the right upper quadrant or epigastrium, nausea, vomiting, and elevated blood pressure. Proteinuria less commonly accompanies symptoms. HELLP is an indication for delivery to avoid hepatic complications, such as rupture, infarct, and hemorrhage. Ref: Anantharaman P., Schmidt R.J., Holley J.L. (2009). Chapter 55. Pregnancy & Renal Disease. In E.V. Lerma, J.S. Berns, A.R. Nissenson (Eds), CURRENT Diagnosis & Treatment: Nephrology & Hypeension.