You are caring for a 42-year-old woman who is 32 weeks pregnant with twins. She is complaining of a severe headache and blurred vision, and lives in a rural area approximately 30 miles from the nearest ED. Your physical exam reveals significant peripheral edema and the following vital signs: heart rate 98, blood pressure 156/98 mmHg, respirations 18. The patient states she has a history of hypertension, but has not taken her prescribed medications because "they aren't safe for the babies." Appropriate treatment for this patient includes:
A) administration of nitroglycerine and delayed transport.
B) intravenous calcium chloride and 12-lead ECG.
C) administration of aspirin and a prehospital stroke assessment.
D) intravenous magnesium sulfate and rapid transport.
D
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