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Question: Elsa is 42 years old and is 35 weeks pregnant with twins through IVF. She has a history of chronic hypertension and reports during a prenatal appointment that she has been having an intermittent headache, nausea, blurred vision and increased swelling in the past few days. Even her face looks swollen. Her blood pressure is 147/92, her heart rate is 88 and she is afebrile. What does her Nurse Practitioner suspect and why? What risk factors does Elsa have for this?
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