<prompt> A 35-year-old primigravida at 38 weeks of gestational age has a blood pressure reading of 150100 mm Hg obtained during a routine visit. Her baseline blood pressure during the pregnancy was 12070 mm Hg. The patient denies any headache, visual changes, nausea, vomiting, or abdominal pain. Her repeat BP is 16090 mm Hg, and urinalysis is negative for protein. Which of the following is the most likely diagnosis?PreeclampsiaChronic hypeension with superimposed preeclampsiaEclampsiaGestational hypeension  <response>: Explanation: Hypeension in pregnancy is defined as blood pressure of 14090 mmHg or greater on at least two separate occasions that are 6 h or more apa. Gestational hypeension- maternal blood pressure reaches 14090 mm Hg or greater for the first time during pregnancy, after 20 weeks and proteinuria is not present. Preeclampsia- blood pressure increases to 14090 mm Hg after 20 weeks of gestation and proteinuria is present 300 mg in 24 h or 1 protein or greater on dipstick. Eclampsia- is present when women with preeclampsia develop seizures. Chronic hypeension is defined as BP 14090 mm Hg before pregnancy or diagnosed before 20 weeks of gestation, or hypeension first diagnosed after 20 weeks of gestation and persistent after 12 weeks postpaum. 