After a client with pregnancy-induced hypertension (PIH) gives birth, which complication should the nurse monitor for closely?

Monitoring for impending convulsion is crucial after a client with pregnancy-induced hypertension (PIH) gives birth because these patients are at increased risk for seizures, especially if they had severe preeclampsia or eclampsia during pregnancy. The pathophysiology of PIH can lead to cerebral edema and increased neurological irritability, which are key factors that can trigger convulsions.

The postpartum period is particularly critical for these individuals, as the risk of seizures can be heightened even after the stress of labor and delivery. Symptoms to watch for include severe headaches, visual disturbances, or altered levels of consciousness, which can indicate imminent seizure activity.

While other complications such as severe bleeding, postpartum infection, and uterine atony are serious concerns in the postpartum period, they are not as directly related to the specific history of PIH. Uterine atony and severe bleeding are more general complications that can occur after any delivery, while postpartum infection is a risk factor that can occur in any postpartum patient but does not have a direct correlation with a history of hypertension. Thus, vigilance for convulsions is essential to ensure timely intervention and safeguard the client's health.