Hand/face edema-after 20 weeks gestation, when there is a rapid weight gain, preeclampsia should be suspected, which may be caused by fluid retention manifested by edema, especially of the hands and face. the three classic signs of preeclampsia are hypertension, edema, and proteinuria. although urine is checked for glucose at each clinic visit, thisis not the priority. depression may cause either anorexia or excessive food intake, leading to excessive weight gain or loss. this is not, however, the priority consideration at this time. weight gain thought to be caused by excessive food intake would require a 24-hour diet recall. however, excessive intake would not be the primary consideration for this client at this time.