Pregestational diabetes mellitusPregestational diabetes mellitus increases a client's risk for the development of preeclampsia. Other risk factors include preexisting hypertension, renal disease, systemic lupus erythematosus, and rheumatoid arthritis.Multifetal gestation, rather than a single fetus pregnancy, increases a client's risk for the development of preeclampsia.Having a BMI greater than 30 increases a client's risk for the development of preeclampsia.A maternal age of younger than 19 or older than 40 increases the client's risk for the development of preeclampsia.