In the question, patient is pres enting withHeadache 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).