A 32-year-old primigravida at 34 weeks presents with BP 160/100 mmHg, proteinuria, and pedal edema. What is the most likely diagnosis?

Correct option is C

Hypertension with proteinuria after 20 weeks of gestation is diagnostic of preeclampsia. Absence of seizures differentiates it from eclampsia.
Explanation of options: (a) ✘ Gestational hypertension = high BP after 20 weeks without proteinuria. (b) ✘ Chronic hypertension starts before 20 weeks or pre-pregnancy. (c) ✔ Correct; HTN + proteinuria after 20 weeks = preeclampsia. (d) ✘ Eclampsia = preeclampsia + seizures, not present here.