Which instruction restricts hourly fluid intake to 125 mL/hr as part of Renee Workman's Scenario Action #2?

Which instruction restricts hourly fluid intake to 125 mL/hr as part of Renee Workman's Scenario Action #2?

• A. Restrict total hourly fluid intake to 125 mL/hr
• B. Dinoprostone 10 mg insert vaginally x1
• C. Magnesium sulfate 4 g over 15 minutes
• D. Magnesium sulfate 40 g in LR @ 2 g/hr

Answer: (A)

In obstetric care, controlling fluid intake helps prevent fluid overload when therapies like magnesium sulfate are used for seizure prevention in conditions such as preeclampsia. The instruction that directly sets a cap on hourly fluids—restrict total hourly fluid intake to 125 mL/hr—is the one that implements this restriction. The other actions involve cervical ripening with dinoprostone or magnesium sulfate dosing for seizure prophylaxis, not limiting hourly fluid volume. So, the cap on hourly intake is the instruction that restricts fluids as described.

In obstetric care, controlling fluid intake helps prevent fluid overload when therapies like magnesium sulfate are used for seizure prevention in conditions such as preeclampsia. The instruction that directly sets a cap on hourly fluids—restrict total hourly fluid intake to 125 mL/hr—is the one that implements this restriction. The other actions involve cervical ripening with dinoprostone or magnesium sulfate dosing for seizure prophylaxis, not limiting hourly fluid volume. So, the cap on hourly intake is the instruction that restricts fluids as described.