<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 22-year-old primigravida is admitted to the obstetrics ward with leg swelling at 35 weeks gestation. She denies any other symptoms. Her pregnancy has been uneventful and she was compliant with the recommended prenatal care. Her vital signs were as follows: blood pressure, 16895 mm Hg; heart rate, 86min; respiratory rate, 16min; and temperature, 36.7C 98F. The fetal heart rate was 141min. The physical examination was significant for 2 pitting edema of the lower extremity. A dipstick test shows 1 proteinuria. On reassessment 15 minutes later without administration of an antihypertensive, her blood pressure was 14188 mm Hg, and the fetal heart rate was 147min. A decision was made to observe the patient and continue the work-up without initiating antihypertensive therapy. Which of the following clinical features would make the suspected diagnosis into a more severe form?? A: 24-hour urinary protein of 5 gL, B: Blood pressure of 16590 mm Hg reassessed 4 hours later, C: Hematocrit of 0.55, D: Platelet count 133,000μL, E: Serum creatinine 0.98 mgdL,  <response>: This is a clinical vignette about a pregnant woman with signs and symptoms concerning for preeclampsia. The question stem provides details about the patients vital signs, physical exam findings, and some initial lab results. It states that the diagnosis is suspected but not confirmed yet. The question asks which additional clinical feature would make the diagnosis more severe. To answer this, I need to consider the diagnostic criteria and severity features of preeclampsia. The choices provide different lab values and vital sign changes to evaluate. I will select the choice that indicates progression to severe preeclampsia based on diagnostic guidelines.B: Blood pressure of 16590 mm Hg reassessed 4 hours later 