Which condition might indicate the cause of vaginal bleeding in a pregnant client?

A friable cervix is a condition characterized by increased sensitivity and fragility of the cervical tissue, making it more prone to bleeding. In pregnant women, especially as the cervix undergoes changes in preparation for labor, this fragility can lead to vaginal bleeding. The presence of the friable cervix could be due to hormonal changes, increased blood flow to the area, or various cervical conditions such as cervical polyps or cervicitis. Therefore, if a pregnant client presents with vaginal bleeding, a friable cervix is a potential physiological cause that should be evaluated by a healthcare provider.

Other conditions listed may contribute to risks during pregnancy but are not directly associated with the symptom of vaginal bleeding in the same manner. Hypertension can lead to various complications but does not typically cause vaginal bleeding directly. Obesity can increase the risk of developing other complications in pregnancy, but it is not a direct cause of vaginal bleeding. Excessive fluid retention may indicate other underlying issues like preeclampsia, but again, it is not typically linked to vaginal bleeding itself.