A young women in labor, G1P0, is diagnosed with pregnancy-induced hypertension (PIH). She is ordered to receive magnesium sulfate. What are the other components of her nursing care? (Select all that apply.)
a. Maintaining a quiet environment
b. Assessing vital signs and fetal heart tones frequently
c. Providing large amounts of PO and IV fluids to maintain fluid volume
d. Allowing the woman to ambulate ad lib
e. Assessing for clonus and deep tendon reflexes
f. Monitoring urine hourly for protein
ANS: A, B, E, F
The client would be prescribed bed rest and would receive maintenance fluids. Hypovolemia is not a problem with PIH—hypertension is.
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