You Are a Nurse Practitioner at San Francisco General Hospital

You are a nurse practitioner at San Francisco General Hospital caring for a 20-year-old woman pregnant with her first child. At the beginning of the third trimester she developed persistent proteinuria with a normal physical exam and laboratory studies. Several weeks later you note she has severe hypertension and order repeat labs, which are pending. Refer to Table 28-1 to determine what the guidelines recommend you do in this situation:

A) Consult and collaborate to provide interprofessional team-based care with nurse-midwife colleagues.
B) Refer this woman to the obstetrician caseload for specialty medical care.
C) Consult and collaborate to provide interprofessional team-based care with obstetrician colleagues.
D) Consult with a collaborating obstetrician to inform the plan of care and provide nurse-midwifery care for this woman.