Signs and symptoms of preeclampsia with severe features include (Select all that apply):

Choice B. Report the client's temperature elevation is incorrect. The client's temperature is within the normal range for a postpartum woman, which can be slightly elevated due to dehydration, increased metabolism, or breast engorgement. A fever of 38°C (100.4°F. or higher could indicate an infection and should be reporteD.

Choice C. Increase IV fluids is incorrect. The client does not have signs of hypovolemia or dehydration that would require increased IV fluids. Excessive fluid administration can cause fluid overload and pulmonary edema in postpartum women.

Choice D. Encourage the client to nurse more frequently so her milk will come in is incorrect. The client's breasts are soft, which indicates that her milk has not come in yet. Nursing more frequently will stimulate milk production, but it will not help with the current problem of uterine atony and hemorrhagE. The nurse should massage the fundus and administer oxytocin as prescribed to enhance uterine contraction.

Choice A: Placing a soft pillow under the client's buttocks is not an effective action, as it can increase the pressure and the swelling on the perineal area and worsen the pain. The nurse should avoid placing anything under the client's buttocks and encourage the client to lie on the side or sit on a firm surfacE.

Choice B: Preparing a warm sitz bath is not an appropriate action, as it can increase the blood flow and the inflammation on the perineal area and worsen the pain. The nurse should avoid using heat on the perineum for the first 24 hours after delivery and use cold therapy insteaD.

Choice C: Positioning a heating lamp toward the episiotomy is not an appropriate action, as it can cause burns and infections on the perineal area and worsen the pain. The nurse should avoid using heat on the perineum for the first 24 hours after delivery and use cold therapy insteaD.

Choice D: Applying an ice pack to the perineum is an effective action, as it can reduce the blood flow and the inflammation on the perineal area and relieve the pain. The nurse should apply an ice pack wrapped in a towel or a disposable cold pack to the perineum for 10 to 20 minutes every 2 to 4 hours for the first 24 hours after delivery.