Your Pregnant Patient at 8 Months Gestation Complains of Bilateral

Your pregnant patient at 8 months gestation complains of bilateral ankle swelling and no other symptoms. Which of the following findings require further investigation?

A) Ankle swelling that is noticed at the end of the day after standing for a prolonged time
B) Weight gain of approximately 1 pound per week
C) A systolic rise of 30 mm Hg or diastolic rise of 15 mm Hg over the patient's baseline blood pressure
D) Uterine fundus above the umbilicus