A 17-year-old girl, gravida 1 para 0, at 37 weeks gestation comes to the emergency department with headache, blurry vision, and
fatigue The patient has missed her last few prenatal visits due to final exams in school. Blood pressure is 190/96 mm Hg, and pulse
is 106/min. Urinalysis shows 4+ protein Physical examination shows increased ankle clonus but no neurologic deficits. Laboratory
results include the following:
Hemoglobin
Platelets
Aspartate aminotransferase
Lactate dehydrogenase, serum
8.2 g/dl
56,000/mm3
12 U/L
1648 U/L
The patient is admitted to the maternity ward for induction of labor and delivers a boy the following day. Which of the following
complications is most likely present in the neonate?
QA Hypoxic brain injury
0 B. lntraventricular hemorrhage
0 C. Kernicterus
0 D. Respiratory distress syndrome
0 E. Small for gestational age
0 F. Thrombocytopenia
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