The nurse is continuing to assist with the care of the client. Nurses' Notes. 0900: 0930: Client is at 31 weeks of gestation and presents with a severe headache unrelieved by acetaminophen. Client also reports urinary frequency and decreased fetal movement. Client is a. gravida 3, para 2 with one preterm birth. Client reports a constant and throbbing headache and rates their pain as a 6 on a scale of 0 to 10. Denies visual disturbances. +3 pitting edema in bilateral lower extremities. Patellar reflex 4+ without the presence of clonus. Client reports occasional nighttime leg cramps. Reports 3 fetal movements within the last 30 min. External fetal monitor applied with a. baseline FHR 140/min with occasional accelerations and moderate variability. No uterine contractions noted. The nurse is reviewing the findings. For each finding, click to specify if the finding is consistent with preeclampsia or HELLP syndrome. Each finding may support more than one disease process.