What is a sign that a patient's condition may be worsening in the context of hypertensive disorders in pregnancy?

Sudden and significant swelling, particularly in the face and hands, is a concerning sign that a patient's condition may be worsening in the context of hypertensive disorders in pregnancy, such as preeclampsia. This type of edema can indicate the progression of the disease and the potential development of complications, including severe hypertension and organ dysfunction. When swelling occurs acutely and is pronounced, it may suggest issues related to fluid retention and increased vascular permeability, common in hypertensive conditions during pregnancy.

Monitoring for such symptoms is crucial because they can signal a shift towards serious complications that require immediate medical intervention. Other signs to be vigilant for would include severe headaches, visual changes, and abdominal pain, which can accompany increased blood pressure and further suggest the deterioration of the mother's or fetus's health. In contrast, an increased appetite, improved fetal movement, or decreased blood pressure readings do not typically signal an impending worsening of hypertensive disorders; in fact, they could indicate more stable conditions.