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Scenario: J.F. is an 18-year-old single African-American woman, gravida 1 para 0, at 38 weeks' gestation. This morning in clinic she had blood pressure (BP) 142/94 mm Hg, pulse 88 beats/min, edema +2, headache, deep tendon re? exes (DTRs) +2, no clonus, proteinuria +2. Her physician is admitting her for induction of labor. She felt ? ne until 2 days ago, when she noticed swelling in her hands, feet, and face. She complains of a frontal headache, which started yesterday and hasn't abated with acetaminophen (Tylenol). She says she feels irritable and doesn't want the overhead lights on.

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