In a routine obstetric visit, a patient exhibits specific findings. What additional physical exam finding may support a diagnosis of preeclampsia?

Hyperreflexia is characterized by an overactive response to stimuli, which can signal an issue with the nervous system. In the context of preeclampsia, hyperreflexia occurs due to increased central nervous system irritability that can result from the hypertensive state associated with the condition. It is often an important clinical sign that may indicate the severity of the disease, along with other findings such as elevated blood pressure and proteinuria.

In contrast, painless cervical dilation is more indicative of issues like cervical incompetence rather than preeclampsia, as it is a separate obstetric concern. Polyuria, or increased urination, is typically not associated with preeclampsia; instead, patients may experience oliguria or decreased urine output due to renal impairment from high blood pressure. Suprapubic abdominal tenderness could suggest more acute abdominal issues or conditions unrelated to preeclampsia, such as appendicitis or ovarian problems, rather than supporting a diagnosis of preeclampsia.

Thus, the presence of hyperreflexia during the physical exam aligns with the neurologic alterations that can accompany preeclampsia, helping to support the diagnosis.