What are the clinical manifestations of preeclampsia?

• A. Hypoglycemia
• B. Low BP
• C. Elevated BP ≥ 140/90, headache, confusion, agitation
• D. Fever and rash

Answer: (C)

Preeclampsia presents as new-onset hypertension after mid-pregnancy with signs of organ involvement. The most characteristic clinical manifestations include sustained high blood pressure (typically around 140/90 mm Hg or higher) and neurologic symptoms such as headache, confusion, and agitation. These CNS symptoms arise from cerebral vasospasm and endothelial dysfunction that occur with preeclampsia.

Other options don’t fit the typical picture: hypoglycemia is not a hallmark of preeclampsia, low blood pressure is not characteristic, and fever with rash suggests infection or another condition rather than preeclampsia.