Soru

A primigravid patient at $36$ weeks gestation comes to the emergency department reporting a $6$-hour history of severe, persistent pain in her right upper abdomen accompanied by nausea. The $29$-year-old reports typical fetal movement and no fluid leakage or uterine contractions. Vital signs include a blood pressure of $162/105\text{ mm Hg}$, a heart rate of $92/\text{min}$, and a temperature of $37.0^\circ\text{C}$ ($98.6^\circ\text{F}$). On physical examination, there is noticeable swelling of the hands and face, along with significant tenderness in the right upper abdominal quadrant. The fetal heart rate tracing is Category I, showing a baseline of $145/\text{min}$, moderate variability, and positive accelerations.

Laboratory results are as follows:

Which of the following is the most appropriate next step in the management of this patient?