The Nurse Is Assessing a Patient at 26 Weeks Gestation

The nurse is assessing a patient at 26 weeks gestation. The patient has chronic hypertension and exhibited hypertension and proteinuria prior to 20 weeks gestation. Previous blood pressure (BP) readings have been in the range of 130 to 140/88 to 90 mm Hg. Due to superimposed preeclampsia, for which additional manifestations will the nurse immediately contact the health care provider? Select all that apply.

A) Laboratory report that shows an elevation of liver enzymes
B) Current blood pressure reading of 162/102 mm Hg
C) Evident pulmonary edema noted with auscultation.
D) Subjective report of severe headache and photophobia
E) Lack of response to verbal and tactile stimulation