What sign should the nurse monitor in a pregnant client at risk for preeclampsia?

• A. Hypotension
• B. Proteinuria
• C. Palpitations
• D. Constipation

Answer: (B)

In the context of monitoring a pregnant client at risk for preeclampsia, proteinuria is a critical sign to observe. Preeclampsia is characterized by new-onset hypertension and evidence of end-organ dysfunction, which often manifests as protein in the urine. The presence of proteinuria indicates that the kidneys are being affected by the condition, which can lead to more severe complications if not addressed.

Monitoring for this specific sign helps healthcare providers assess the severity of the condition and the effectiveness of any interventions. Identifying proteinuria can prompt further evaluation and management, including closer monitoring of blood pressure and potential medications to prevent progression to severe preeclampsia or eclampsia, which could have serious implications for both the mother and the fetus.

While other signs such as hypotension, palpitations, and constipation can occur during pregnancy, they do not specifically indicate preeclampsia and are not primary concerns in the context of this condition. Thus, the presence of proteinuria is a more direct and significant indicator for assessing the risk and progression of preeclampsia in pregnant clients.