A 32-year-old woman, gravida 1 para 0, at 34 weeks of gestation presents to the emergency department with complaints of persistent headache, blurry vision, and swelling in her hands and feet for the past two days. She denies chest pain, but has some shortness of breath. Her antenatal course has been uneventful until now, with no significant medical history. On examination, the patient has a blood pressure of 170/110 mmHg, a pulse rate of 88 beats per minute, and no fever. She has pitting edema in both lower extremities. Neurological examination reveals hyperreflexia, but no clonus or seizures. Fundoscopy shows no papilledema. Fetal heart tones are reassuring, and the uterus is non-tender. Laboratory tests Test Result Reference urine protein/creatinine 0.6 normal < 0.3 Platelets 90,000/µL 150,000 - 400,000/µL ALT 78 U/L 10-40 U/L AST 95 U/L 12-38 U/L Serum creatinine 1.5 mg/dL 0.6 - 1.2 mg/dL LDH 450 U/L 45-200 U/L What is the definitive treatment for this patient?
