A 37-year-old primigravida at 30 weeks gestation has trace leukocytes and 2+ protein in her urinalysis. What condition is MOST likely indicated?

The presence of trace leukocytes and 2+ protein in the urinalysis of a 37-year-old primigravida at 30 weeks gestation is suggestive of pregnancy-induced hypertension, also known as pre-eclampsia. In this condition, proteinuria (the presence of excess protein in the urine) is a significant diagnostic criterion. The trace amount of leukocytes may indicate a urinary tract infection; however, the more critical finding in this context is the proteinuria, which raises concern for pre-eclampsia in a woman at this stage of pregnancy.

Pre-eclampsia typically presents after 20 weeks of gestation with hypertension and may also be associated with proteinuria or end-organ dysfunction. Given that the patient is in the later stages of pregnancy and demonstrates proteinuria, the likelihood of pre-eclampsia is significantly higher compared to the other conditions listed.

HELLP syndrome is a severe form of pre-eclampsia that includes hemolysis, elevated liver enzymes, and low platelet count. While it could be a consideration, the information provided does not include signs specific to HELLP syndrome, such as liver abnormalities or thrombocytopenia.

Eclampsia is characterized by the onset of seizures in a