Which of the following is considered a severe feature of preeclampsia related to neurologic status?

• A. Cerebral or visual changes
• B. Mild edema
• C. Hyperreflexia without symptoms
• D. Normal coagulation profile

Answer: (A)

Neurologic involvement signals severe features of preeclampsia. Cerebral or visual changes indicate the CNS is affected and raise the risk of progression to seizures (eclampsia). Examples like a severe headache, blurred vision, or other visual disturbances reflect true neurologic involvement and require urgent management with seizure prophylaxis (such as magnesium sulfate) and close monitoring, with delivery planning as appropriate for maternal and fetal status. Mild edema is common in pregnancy and does not by itself denote severity. Hyperreflexia without symptoms isn’t the same as a neurologic change, and a normal coagulation profile means there’s no current coagulopathy, which is a separate concern and not a neurologic severity marker.