A 38-year-old woman who is 32 weeks pregnant and gravida 1 para 0 comes into the office complaining of a headache that is getting worse. The patient also reports a 4.54 kg (10 lb) weight gain since her previous appointment, which was two weeks earlier, and increasing leg swelling. Her pregnancy has been uneventful, and she doesn't have any current medical conditions. According to a review of the patient's medical records, the blood pressure was 130/80 mm Hg at the 30-week gestation. Blood pressure right now is 165/100 mm Hg. To the knees, there is 2+ pitting edema. There is 0.9 mg/dL of serum creatinine. Which of the following findings would most likely be present in this patient's urinalysis?

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Quizplus · Accepted Answer

Eductional Objective: After 20 weeks of pregnancy, preeclampsia manifests as new-onset hypertension with end-organ damage (eg, headache). Oliguria with increased specific gravity, proteinuria, and serum creatinine increases are some of the renal consequences of preeclampsia.

A 38-Year-Old Woman Who Is 32 Weeks Pregnant and Gravida