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HESI EXIT EXAM REAL Tested Questions With 100% Correct Answers| GUARANTEE PASS When is it most important for the nurse to assess a pregnant client's deep tendon reflexes (DTRs)? Within the first trimester of pregnancy. If the client has an elevated blood pressure. When the client has ankle edema. During admission to labor and delivery. Rationale: A systolic greater than 140 mm Hg or a diastolic greater than 90 mm Hg is a sign of preeclampsia. Deep tendon reflexes (DTRs) greater ...