Which of the following is a severe feature of preeclampsia according to recent guidelines?

All of the listed features are recognized as severe manifestations of preeclampsia according to recent guidelines. Severe persistent right upper quadrant (RUQ) pain can indicate liver involvement and is a significant warning sign in the context of preeclampsia. It is essential to evaluate such pain carefully, as it may not be attributed to other conditions, thereby necessitating close monitoring and potential intervention.

Fetal growth restriction represents another serious aspect of preeclampsia. It signifies that the fetus is not growing as expected, potentially due to impaired placental blood flow and nutrient transfer, which are consequences of the disease. This condition can lead to adverse outcomes for both the mother and the baby, highlighting its importance in the assessment of preeclampsia severity.

Proteinuria exceeding 5 grams in a 24-hour period is a significant indicator of the severity of preeclampsia. High levels of protein in urine reflect kidney damage and dysfunction associated with the condition. This measurement is one of the critical diagnostic criteria used to categorize the condition as severe, indicating that the woman's health is at significant risk.

Therefore, since all these conditions—severe RUQ pain, fetal growth restriction, and substantial proteinuria—are acknowledged as severe features of