A 25 years old patient at 38 weeks gestation who is in labor is being treated with magnesium sulfate for preeclampsia. Which nursing intervention does not correspond with this medication's toxicity? Select one:

Assess and record urine output.

Assess cervix dilation

Assess deep tendon reflexes

Check respiratory rate

Answer and Explanation

The Correct Answer is B

a. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect renal function.
b. Assessing cervix dilation is not related to magnesium sulfate toxicity.

c. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect neuromuscular function.
d. This is an important nursing intervention when a patient is receiving magnesium sulfate, as the medication can affect respiratory function.

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Correct Answer is B

Explanation

a. This does not follow the Nagele's rule.

b. Nagele's rule is a method to estimate the expected delivery date by adding 7 days and subtracting 3 months from the first day of the last normal menstrual period. In this case, adding 7 days to March 13 gives March 20, and subtracting 3 months gives December 20. Then, adding one year gives December 20, 2022.
c. This does not follow the Nagele's rule.

d. This does not follow the Nagele's rule.

A. Variable decelerations are due to umbilical cord compression B. Variable decelerations are related to fetal head compression. C. Variable decelerations are caused by uteroplacental insufficiency. D. Variable decelerations are a result of the administration of IV narcotic analgesics. E. Variable decelerations are a result of the administration of IV narcotic analgesics.

Correct Answer is A

Explanation

a. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.

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A 25 years old patient at 38 weeks gestation who is in labor is being treated with magnesium sulfate for preeclampsia. Which nursing intervention does not correspond with this medication's toxicity? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman reports that her last normal menstrual period began on March 13, 2022. What is this woman's expected delivery date using Nagele's rule? Select one:

Correct Answer is B

Explanation

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is A

Explanation

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