Which finding in a pregnant client with severe preeclampsia is most associated with complications?

In a pregnant client with severe preeclampsia, the presence of bleeding, evidenced by symptoms such as gum bleeding, petechiae, and purpura, is particularly concerning. This manifestation can indicate a serious condition known as disseminated intravascular coagulation (DIC), which can lead to significant complications for both the mother and fetus. DIC is a severe coagulation disorder where small blood clots form throughout the body's small blood vessels, leading to bleeding and an increased risk of organ failure.

Bleeding in the gums, petechiae (small red or purple spots on the skin), and purpura (larger areas of bleeding under the skin) suggest that the body's normal coagulation processes are disrupted. This disruption is not simply isolated to bleeding, but also reflects potential end-organ damage, which can have severe implications.

In contrast to the other options, which may indicate less immediate danger, this bleeding finding signifies a high risk of severe complications. Increased fetal movement may indicate fetal well-being and is not directly tied to complications associated with severe preeclampsia. Elevation of blood pressure is expected in preeclampsia but may not directly correlate with immediate complications. Palpitations or heartburn also do