A 26-Year-Old Woman, Gravida 1 Para 0, at 36 Weeks

A 26-year-old woman, gravida 1 para 0, at 36 weeks gestation comes to the office for a routine prenatal visit.  She has had no headaches, changes in vision, or right upper quadrant pain.  Fetal movement is normal.  The patient has no chronic medical conditions, and her pregnancy has been uncomplicated.  Blood pressure today is 150/100 mm Hg, and a repeat measurement is 154/102 mm Hg.  All other vital signs are normal.  Urinalysis shows 2+ protein.  This patient's condition is most likely due to decreased activity of which of the following?

A) Endothelin
B) Human chorionic gonadotropin
C) Prolactin
D) Thromboxane A2
E) Vascular endothelial growth factor

Correct Answer:

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