A 31-Year-Old Woman, Gravida 3 Para 2, at 28 Weeks

A 31-year-old woman, gravida 3 para 2, at 28 weeks gestation comes to the office for a prenatal visit.  She has chronic hypertension that has been well controlled during this pregnancy.  At the patient's previous prenatal visits, her blood pressure ranged from 120/70 to 130/80 mm Hg.  Today, her blood pressure is 150/100 mm Hg and repeat is 152/98 mm Hg.  Fundal height is 24 cm.  Urinalysis shows 2+ protein.  A transabdominal ultrasound reveals oligohydramnios and a fetus with growth restriction.  Compared to normal placental parameters, this patient most likely has which of the following hemodynamic changes?

A) A
B) B
C) C
D) D
E) E
F) F

Correct Answer:

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