Certified Midwife Exam Prep

Answer: A - The midwife should monitor the client for signs of water intoxication, such as vomiting. Water intoxication is also manifested by headache and seizures. Oxytocin is an anti-diuretic hormone that causes decreased urine outflow and, consequently, fluid overload. The midwife should closely monitor the client’s fluid intake and urine output, test the client’s urine specific gravity and limit the intravenous fluid being administered to 150 mL per hour.