<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 25-year-old primigravida woman at 35 weeks estimated gestational age presents with a headache for the past 5 hours. She describes the headache as severe and incapacitating and showing no response to acetaminophen. In the emergency department, her blood pressure is found to be 150100 mm Hg, pulse is 88min, respiratory rate is 30min, and temperature is 37.0C 98.6F. Her records show that her blood pressure was the same yesterday during her regular antenatal visit. Chest auscultation reveals bilateral crackles along the lung base. Abdominal examination reveals a gravid uterus consistent with a gestational age of 32 weeks and a floating fetus in a cephalic presentation. Pelvic examination is performed which shows a closed firm cervix with no evidence of bleeding or discharge. Moderate pitting edema is noted and neurologic examination shows generalized hyperreflexia. Laboratory findings are significant for the following:Hemoglobin 12.5 gdLPlatelets 185,000μLSerum creatinine 0.4 mgdLSpot urine creatinine 110 mgdLSpot urine protein 360 mgdLAST 40 IULWhich of the following is the most likely diagnosis in this patient?? A: HELLP syndrome, B: Preeclampsia with severe features, C: Preeclampsia without severe features, D: Eclampsia, E: Gestational hypertension,  <response>: Based on the information provided in the question stem, the key findings are:- 25-year-old pregnant woman at 35 weeks gestation - Severe, incapacitating headache not responding to acetaminophen- Elevated blood pressure of 150100 mmHg compared to previous normal reading- Bilateral crackles on lung exam, generalized edema, hyperreflexia on neuro exam - Thrombocytopenia, elevated creatinine and liver enzymes, proteinuriaThese findings are most consistent with preeclampsia with severe features, which is characterized by new onset hypertension after 20 weeks gestation along with signs of end-organ dysfunction such as thrombocytopenia, impaired liver function, progressive renal insufficiency, pulmonary edema and cerebralvisual disturbances. The other options can be ruled out:- HELLP syndrome: Does not have hemolysis or very high liver enzymes- Eclampsia: No seizures mentioned - Gestational hypertension: No end-organ dysfunctionB: Preeclampsia with severe features 