Which assessment finding in a pregnant client may indicate preeclampsia?

In a pregnant client, elevated blood pressure is a key indicator of preeclampsia. Preeclampsia is a serious condition that can occur after the 20th week of pregnancy and is characterized by new-onset hypertension and often accompanied by proteinuria or other signs of organ dysfunction. Monitoring blood pressure is crucial in prenatal care, as consistent readings of 140/90 mmHg or higher may indicate the development of this condition. Elevated blood pressure may lead to complications for both the mother and the fetus if not managed appropriately, making it a critical finding in the assessment of a pregnant client.

Other assessment findings do not indicate preeclampsia as clearly. Lower leg swelling can occur in pregnancy due to fluid retention and is not specific to this condition; weight loss in the second trimester is unusual and concerning, suggesting possible issues unrelated to preeclampsia; and an increased appetite also does not correlate with this condition, as appetite changes can vary significantly among pregnant women without indicating any form of hypertensive disorder.