Hi
Apple Watch does not have a built-in BP / blood pressure monitor, so it cannot measure your blood pressure.
It does have a built-in heart rate sensor.
For the best performance from the heart rate sensor, Wrist Detection and haptic feedback, the watch should be worn snugly on the top of your wrist. The fit should be neither too tight, nor too loose, allowing room for your skin to breathe.

For the best measurement during workouts, Apple suggests that you consider tightening the watch band beforehand and loosening it again afterwards.
More information:
Your heart rate. What it means, and where on Apple Watch you’ll find it. - Apple Support
http://www.apple.com/watch/compare/