What is a sign that a nurse should be concerned about in a client with pre-eclampsia?

In the context of pre-eclampsia, hyperreflexia is a significant sign that indicates the potential for progressing to more severe complications, such as eclampsia. The presence of hyperreflexia suggests increased neurological irritability and can indicate worsening hypertension or an impending seizure. In patients with pre-eclampsia, monitoring for hyperreflexia is crucial because it may reflect a heightened risk of seizures, which is a serious concern associated with this condition.

On the other hand, stable vital signs, normal urine output, and reduced protein in urine generally suggest that the condition may not be worsening. Stable vital signs indicate no acute changes in the patient's hemodynamic status, normal urine output suggests that renal function is intact, and reduced protein in urine could imply that the severity of pre-eclampsia is decreasing. Therefore, hyperreflexia stands out as the most concerning sign that warrants immediate evaluation and intervention.