A nurse in an obstetric clinic is assisting in the care of a 36-year-old primigravida client at 32 weeks of gestation. Click to select the findings that require immediate follow-up.

Blood pressure 142/92 mm Hg

Respiratory rate 18/min

Oxygen saturation 97% on room air

+2 pitting edema to bilateral ankles and feet

3+ patellar reflex

Protein 1+

Headache and blurred vision