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Content 4

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Content 11

 

A 23-year-old pregnant women is seeing her obstetrician for a routine visit during her third trimester. Her only complaint is some swelling of her arms and legs. She reports no other difficulties with the pregnancy. She has not experienced any headaches, sweating, or vaginal bleeding. Her physical examination reveals a blood pressure of 157/93 mm Hg. Laboratory studies show hemoglobin of 12.6 g/dL. Urinalysis is negative for glucose, but does show an elevated level of protein. This patient is at most risk for

The correct answer is B.

The patient has features of preeclampsia. Preeclampsia can progress to eclampsia with the development of seizures.

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