During my orientation my preceptor told me to include patellar reflexes and to check for clonus with each patient assessment including re-assessments. She also said to be asking about preeclampsia s/s with each assessment ie headache, vision changes, any increases in swelling, RUQ pain ect.
I've noticed other nurses assess these in patients who have a history of preeclampsia, patient's with BP's that are running higher or if they are on mag but not on patients with a perfectly healthy pregnancy. What do you guys do? Our policy doesn't include these factors into an assessment for patients with a typical pregnancy but I want to make sure I am doing what's best for my patients. I don't want to be leaving out these assessments if I should be doing them but I also don't want to be waking my patients up in the middle of the night using the hammer ect if it is completely unnecessary.
Thank you so much for your input!