Problem:
Sarah Green, a 29-year-old woman, is in her second pregnancy. She has a history of a healthy first pregnancy and is currently at 32 weeks of gestation. Recently, Sarah noticed severe headaches that she describes as persistent and pounding, frequent visual disturbances including blurred vision and spots, and noticeable swelling in her hands, face, and feet. Over the past week, she has experienced a sudden increase in weight-about 5 pounds in just one week-despite no significant changes in her diet or physical activity. During her latest prenatal visit, her blood pressure was recorded at 160/110 mmg, which is significantly elevated from her baseline readings. A urinalysis showed a high level of proteinuria (3+), indicating significant protein in her urine. Sarah's obstetrician ordered additional tests, including liver function tests and a complete blood count, to assess for potential complications. Sarah is slightly overweight with a BMI of 28 and has a family history of hypertension, but she has no known chronic conditions. She is experiencing high levels of stress due to a recent job change and financial difficulties.