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A 24-year-old primigravid woman at 28 weeks' gestation has had nagging headaches, a puffy-looking face, and swollen legs for the past week. Her blood pressure is 180/95 mm Hg; it was within normal limits earlier in the pregnancy. Urinalysis shows a protein concentration of 0.6 g/dL. Which of the following is the most likely diagnosis?

a. Acute glomerulonephritis

b. Congestive heart failure

c. Eclampsia

d. Nephrotic syndrome

e. Preeclampsia

in Ob/Gyn by

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e. Preeclampsia