The perinatal nurse is caring for a patient with preeclampsia. What intervention does the nurse include on this patient's care plan?
A.
Administer magnesium sulfate per agency policy.
B.
Assess the patient's blood pressure every 6 hours.
C.
Encourage the patient to rest on her back.
D.
Notify the physician of urine output greater than 30 mL/hr.
ANS: A
The nurse is the manager of care for the woman with preeclampsia during the intrapartal period. Careful assessments are critical. The nurse administers medications as ordered and should adhere to hospital protocol for a magnesium sulfate infusion. Vital signs should be assessed more often than every 6 hours. The patient should be encouraged to maintain a left side-lying position. A urine output of greater than 30 mL/hour is normal.
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