A client at 31 weeks of gestation is assessed for potential prenatal complications. Which finding is concerning?

The finding of blurred vision in a client at 31 weeks of gestation is concerning because it may indicate the presence of gestational hypertension or preeclampsia. These conditions can lead to significant maternal and fetal morbidity if not identified and managed appropriately. Blurred vision can occur due to changes in blood pressure that affect the vascular system in the eyes, signaling a need for further evaluation.

In normal pregnancy, it is common to experience some physical changes; however, the other symptoms mentioned—periodic tingling of fingers, absence of clonus, and leg cramps—can be less indicative of severe complications. Periodic tingling can be associated with positional nerve compression, absence of clonus is generally a sign that there are no neurological deficits or severe hypertensive symptoms present, and leg cramps can simply be a normal part of pregnancy due to changes in body mechanics and blood flow. Therefore, while these findings may warrant attention, they do not carry the same urgency or risk as blurred vision in the context of potential severe prenatal complications.