Gestational hypertension, preeclampsia, eclampsia, and HELLP Quiz: Ace Your Exams

A 30-year-old woman, gravida 3, para 2, at 32 weeks of gestation presents to Labor and Delivery Triage with worsening swelling in her feet over the last 8 hours. The patient denies headaches, visual changes, shortness of breath, abdominal pain, contractions, loss of fluid, bleeding, or decreased fetal movement. Medical history is notable for two prior uncomplicated vaginal deliveries at term. She takes prenatal vitamins and iron supplements. Temperature is 36.9°C (98.4°F), pulse is 72/min, respirations are 18/min, and blood pressure is 148/90 mmHg. On exam, the lungs are clear to auscultation, the abdomen is non-tender, the deep tendon reflexes are 2+ bilaterally, and 2+ pitting edema is noted to the knees. The cervix is 1 cm dilated, 50% effaced, and -3 station. The fetal heart rate pattern is reassuring and no contractions are noted on cardiotocographic monitoring. Which of the following sets of laboratory findings would be consistent with the management strategy of initiating magnesium sulfate and immediate induction of labor?