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Which symptom in a pregnant woman at 26 weeks is considered concerning?

  1. Generalized hair loss

  2. Nosebleeds

  3. A hyperpigmented rash

  4. Facial edema

The correct answer is: Facial edema

In a pregnant woman at 26 weeks gestation, facial edema is considered concerning because it can be a sign of underlying issues that may require medical attention, such as preeclampsia. Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, most often the liver and kidneys. Edema, or swelling, particularly in the face and hands, along with elevated blood pressure, can indicate this serious condition, which can affect both maternal and fetal health. While generalized hair loss, nosebleeds, and a hyperpigmented rash can be common during pregnancy due to hormonal changes and increased blood volume, they are generally not associated with the same level of urgency as facial edema. These other symptoms may warrant monitoring but do not typically signal immediate risks as facial edema does. The presence of facial swelling, especially when combined with other signs like elevated blood pressure or protein in the urine, can indicate a serious condition that requires prompt assessment and management.