Which of the following is NOT a symptom of severe pre-eclampsia?

In the context of pre-eclampsia, particularly severe pre-eclampsia, the condition is characterized by certain clinical features, including hypertension and other systemic symptoms. One of the key indicators of severe pre-eclampsia is elevated blood pressure, often greater than 160/110 mmHg.

Normal blood pressure would not align with the diagnosis, as the presence of hypertension is a hallmark of the condition. The other symptoms listed—impaired liver function, severe headache, and shortness of breath—are indeed associated with severe pre-eclampsia. Impaired liver function can present as elevated liver enzymes, severe headaches can occur from cerebral edema or hypertension, and shortness of breath may arise due to pulmonary edema, which can be a serious complication. Thus, recognizing that normal blood pressure does not fit within the symptoms of severe pre-eclampsia is crucial.