What is one consequence of renal insufficiency in severe preeclampsia?

In severe preeclampsia, renal insufficiency is a significant concern because the kidneys are not functioning adequately to filter waste products and maintain fluid balance. One of the primary consequences of this reduced renal function is edema and fluid retention. This occurs because the kidneys are unable to excrete a sufficient volume of fluid, leading to an accumulation of fluid in the interstitial spaces, which results in swelling.

Further complications might arise as a result of this fluid overload, including hypertension and potential progression of preeclampsia to more severe forms such as HELLP syndrome. The fluid retention is not just limited to the edema seen in the extremities, but can also involve crucial organs, contributing to the overall clinical picture of severe preeclampsia.

The other options reflect scenarios that are not typically associated with renal insufficiency in severe preeclampsia. For instance, increased urine output would be contrary to the principles of renal insufficiency, and stable blood pressure levels are unlikely as preeclampsia often leads to elevated blood pressure. Reduced thrombocyte levels can occur in severe cases but is not a direct consequence of the renal insufficiency specifically. Thus, edema and fluid retention stand out as a direct result of compromised renal function in