PLE-4357

PLE-4357

A 25-year-old, G3P4, comes to your office for a routine prenatal check-up, complaining of vaginal bleeding. The patient is 16 weeks AOG based on LMP. Upon PE, her uterus is at the level of the umbilicus, and no FHTs can be heard. Her BP is 150/90 mmHg with no prior history of hypertension. Urinalysis showed 2+ proteinuria on dipstick. Which of the following conditions should you rule out first?