A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

A. 1+ pitting sacral edema: Mild pitting edema is a common clinical feature of preeclampsia, especially in the lower extremities or sacral area due to fluid retention. This finding aligns with expected symptoms and is not inconsistent with the diagnosis. B. 3+ protein in the urine: Significant proteinuria (≥300 mg/24 hr or ≥1+ on dipstick) is a key diagnostic criterion for preeclampsia. A 3+ result reflects marked protein loss and supports the diagnosis, not contradicts it. C. Blood pressure 148/98 mm Hg: A systolic pressure ≥140 mm Hg or diastolic ≥90 mm Hg on two readings at least 4 hours apart confirms hypertension in pregnancy. This value fits the diagnostic criteria for preeclampsia. D. Deep tendon reflexes of +1: Clients with preeclampsia often exhibit hyperreflexia (+3 or +4) due to CNS irritability. A reflex score of +1 is diminished and inconsistent with the expected heightened neuromuscular activity seen in preeclampsia.