A nurse is planning care for a client who is 1 hour postpartum and has preeclampsia without severe features. Which of the following actions should the nurse plan to take?

Choice A rationale Misoprostol is a prostaglandin analog used to prevent or treat postpartum hemorrhage by inducing uterine contractions, but it is not the primary intervention for preeclampsia without severe features, which focuses on blood pressure control and seizure prophylaxis. Choice B rationale Administering an IV bolus of lactated Ringer's is generally contraindicated in preeclampsia because it can increase the risk of pulmonary edema due to generalized fluid retention and increased capillary permeability characteristic of the disorder. Fluid management should be conservative. Choice C rationale Clonus, which is the presence of rhythmic, involuntary muscle contractions, is a sign of hyperreflexia and central nervous system irritability. It indicates worsening preeclampsia and the potential progression to eclampsia (seizures), necessitating close neurological assessment for timely intervention. Choice D rationale Restricting daily oral fluid intake can lead to dehydration and is not a standard or necessary practice for preeclampsia management without severe features, unless there is evidence of pulmonary edema or acute kidney injury. The focus is on careful fluid balance, not routine restriction.