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The selected answer, which involves strict bed rest and fetal surveillance, is a common management strategy for preeclampsia due to the condition's nature and potential complications for both the mother and the fetus. Preeclampsia is characterized by high blood pressure and often protein in the urine after 20 weeks of gestation. Managing this condition effectively is essential to minimize risks such as progression to eclampsia, placental abruption, or fetal distress.

Strict bed rest can help reduce blood pressure levels and improve blood flow to the placenta, while fetal surveillance ensures that the fetus is monitored for any signs of distress or growth restriction, which may be a consequence of insufficient placental blood flow due to elevated maternal blood pressure.

Monitoring and bed rest are integral parts of a comprehensive care plan that may also include medication to manage blood pressure and help prevent severe outcomes. This approach is focused on avoiding complications rather than taking immediate drastic actions unless necessary.

In contrast, immediate cesarean delivery is typically reserved for severe cases or when maternal and fetal conditions deteriorate. Administration of insulin is not a standard treatment for preeclampsia, as the condition is not related to diabetes, and encouraging physical activity contradicts the recommended approach of rest in managing