Question

State three priority nursing actions in the post delivery period for the client with preeclampsia.

A) Monitor vital signs, encourage immediate breastfeeding, and administer intravenous antibiotics.
B) Administer pain relief medications, encourage ambulation, and prepare for discharge within 24 hours.
C) Monitor for signs of worsening preeclampsia, provide emotional support, and assist with bonding and newborn care.
D) Monitor for signs of bleeding, continue magnesium sulfate, and assist with newborn feeding.

Answer 1

The three priority nursing actions post delivery for a client with preeclampsia are monitoring for worsening preeclampsia, managing hypertension, and preventing seizures with magnesium sulfate, along with monitoring for signs of postpartum hemorrhage.

Step-by-step explanation:

Three priority nursing actions in the post delivery period for the client with preeclampsia include monitoring for signs of worsening preeclampsia, managing hypertension, and preventing seizures. Firstly, nurses must meticulously monitor vital signs, particularly blood pressure, as hypertension can worsen post delivery. Secondly, administering magnesium sulfate as ordered can help prevent seizures, which is a primary concern with preeclampsia. Lastly, it is essential to observe for signs of postpartum hemorrhage, as clients with preeclampsia may be at increased risk. This includes checking uterine firmness and monitoring for excessive lochia.