A 30-year-old primigravida at 34 weeks presents with BP 158/106 mmHg, proteinuria 2+, and platelet count of 88,000/µL with serum AST 92 IU/L and LDH 720 IU/L. She has no headache or visual symptoms. Which feature in this patient definitionally qualifies her as having severe pre-eclampsia under ACOG 2013 criteria?
- A Proteinuria of 2+
- B Absence of neurological symptoms
- C Platelet count less than 100,000/µL ✓
- D Gestational age less than 37 weeks
Correct answer: C. Platelet count less than 100,000/µL
Explanation
ACOG 2013 criteria define severe features of pre-eclampsia; thrombocytopenia (platelets < 100,000/µL) is one of the listed severe features. Proteinuria alone does not determine severity under the revised criteria, absence of symptoms is not a severity marker, and gestational age < 37 weeks is not part of severity definition.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.