What risk factor for developing preeclampsia is identified in a client at 8 weeks of gestation?

The identification of rheumatoid arthritis as a risk factor for developing preeclampsia is linked to the inflammatory processes involved in both conditions. Patients with autoimmune diseases, such as rheumatoid arthritis, may have an increased risk of developing preeclampsia due to the underlying inflammation and immune dysregulation. This inflammation can contribute to complications during pregnancy, including preeclampsia.

In contrast, the other options—history of hypertension, nulliparity, and age over 35—are recognized risk factors for preeclampsia, but they have more direct associations. History of hypertension suggests a pre-existing cardiovascular issue that can be exacerbated during pregnancy, nulliparity indicates that a first-time pregnancy can increase complications, and being over 35 years is often related to increased risks associated with maternal age. However, these factors were not selected in this context, emphasizing the less direct association of rheumatologic conditions like rheumatoid arthritis with preeclampsia. This consideration lays the groundwork for monitoring those with such autoimmune conditions closely during pregnancy for potential complications like preeclampsia.