For a patient with preeclampsia with severe features and BP readings despite treatment, what is the recommended course of action?

For a patient diagnosed with preeclampsia with severe features, immediate delivery is the recommended course of action due to the significant risks associated with this condition both for the mother and the fetus. Preeclampsia is characterized by elevated blood pressure and can lead to serious complications such as stroke, liver damage, and placental abruption if not managed promptly.

When the features are classified as severe, the risks increase substantially, necessitating urgent intervention. Delivering the baby is the most effective way to resolve the mother's condition and alleviate the potential for further complications. The gestational age of the fetus will be a consideration, but once severe features are present and the mother's well-being is at risk, delivering the baby, regardless of gestational age, is often prioritized to protect both the mother and child.

In contrast, increasing exercise is not appropriate as it could exacerbate the mother's condition. Outpatient monitoring may not provide the necessary immediate care required in a severe situation, and medication adjustments alone are generally insufficient to address the risks posed by severe preeclampsia. Timely delivery ensures that both the patient and the fetus are safeguarded against the complications of the disorder.