When monitoring a client for signs that preeclampsia has not resolved, which finding indicates this?

Hyperreflexia indicates that the preeclampsia may not have resolved because it is associated with increased neuromuscular excitability, which is often a sign of the central nervous system involvement that can occur with severe preeclampsia. In conditions of preeclampsia, the presence of hyperreflexia is indicative of increased activity in the nervous system due to heightened irritability and can precede more severe complications, such as seizures.

Monitoring for hyperreflexia, along with other clinical signs, helps in assessing the severity of preeclampsia and whether the condition is still active or has resolved. In a stable and resolved state, it is expected that there would be no hyperreflexia, as the neuromuscular system would return to baseline.

In contrast, normal blood pressure readings suggest that the hypertension has been controlled, while the absence of urinary protein indicates that renal function may have returned to normal. Similarly, a urine output within the expected range is another marker that is generally consistent with recovery from preeclampsia. Hence, hyperreflexia stands out as an alarming sign still present when preeclampsia has not resolved.