The nurse is assisting in the care of the client who is at 30 weeks of gestation. Click to specify which of the following actions the nurse should recommend including in the client's plan of care. Select all that apply.

A. Monitor blood pressure: The client’s blood pressure readings (148/94 mm Hg and 156/96 mm Hg) indicate hypertension in pregnancy, which requires frequent monitoring to detect worsening preeclampsia and prevent complications such as stroke or placental abruption. B. Check urinary output: Elevated BUN and creatinine, along with proteinuria, indicate possible renal involvement from preeclampsia. Monitoring urinary output helps assess kidney function and detect oliguria, a critical warning sign. C. Initiate contact precautions: There is no evidence of an infectious condition requiring contact precautions. Standard precautions are sufficient for this client. D. Monitor deep tendon reflexes: Hyperreflexia (DTR 3+) is a hallmark sign of preeclampsia and indicates increased seizure risk. Ongoing monitoring is essential for early recognition of worsening neurological status. E. Assist with preparing the client for amniocentesis: Amniocentesis is not indicated based on the current clinical findings. Immediate priorities involve maternal stabilization and fetal monitoring, not diagnostic invasive procedures. F. Encourage bedrest: Bedrest can help reduce blood pressure and improve uteroplacental perfusion in clients with preeclampsia. Positioning the client on her left side optimizes blood flow to the fetus and kidneys. G. Assist with application of internal fetal monitor: The client has minimal variability on the external fetal monitor, suggesting potential fetal compromise. Internal fetal monitoring may be indicated for more accurate assessment of fetal status, so assisting with its application is appropriate.