A 37-year-old woman, gravida 1 para 0, comes to the office for a routine prenatal appointment at 28 weeks of gestation. The pregnancy has been uneventful, and she has been compliant with
prenatal care. During the past week, she has been feeling a severe throbbing
headache, with minimal response to
acetaminophen. Medical history is unremarkable, and she has no history of
migraines. Temperature is 37.0°C (98.6°F),
pulse is 95/min, and
blood pressure is 150/95 mmHg. Review of medical records at 24 weeks of gestation shows blood pressure of 135/80. Which of the following would prompt further evaluation in this patient?
