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A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.
Assessment findings include blood pressure: 149/93 mm Hg, pulse: 80 beats/min, respiratory rate: 16 breaths/min.
The nurse suspects preeclampsia.
What additional finding would the nurse assess for?

Uterine contractions.

Decreased deep tendon reflexes.

Increased blood glucose level.

Proteinuria.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Uterine contractions are not a primary indicator of preeclampsia but rather of labor.

Choice B rationale

Preeclampsia is associated with hyperreflexia, not decreased deep tendon reflexes.

Choice C rationale

Preeclampsia is primarily monitored through blood pressure and proteinuria, not blood glucose levels.

Choice D rationale

Proteinuria is a key indicator of preeclampsia, caused by kidney damage due to high blood pressure.

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Correct Answer is D

Explanation

Choice A rationale

Methotrexate is used for treating ectopic pregnancies and certain cancers, but it is not an antidote for Magnesium Sulfate toxicity.

Choice B rationale

Labetalol is a beta-blocker used for hypertension management in pregnancy, not for reversing Magnesium Sulfate toxicity.

Choice C rationale

Nifedipine is a calcium channel blocker used to manage high blood pressure and preterm labor, not for counteracting Magnesium Sulfate toxicity.

Choice D rationale

Calcium gluconate is the specific antidote for Magnesium Sulfate toxicity, effectively reversing its effects.

A. I will wear the seatbelt under my arm instead of over my shoulder to reduce pressure on my abdomen. B. I will position the lap belt under my abdomen and the shoulder belt between my breasts and above my abdomen to minimize the risk of abdominal trauma. C. I will avoid wearing a seatbelt during my pregnancy to protect the baby. D. I will remove the seatbelt when driving at a slow speed to reduce the risk of abdominal trauma.

Correct Answer is B

Explanation

Choice A rationale

Wearing the seatbelt under the arm is not recommended as it may not distribute the force of a collision evenly and could increase the risk of injury to both the mother and the baby. Proper positioning is crucial for safety.

Choice B rationale

Positioning the lap belt under the abdomen and the shoulder belt between the breasts and above the abdomen minimizes the risk of abdominal trauma and ensures both mother and baby are protected in the event of a collision. This is the recommended positioning for pregnant women.

Choice C rationale

Avoiding a seatbelt during pregnancy is not advised as it significantly increases the risk of injury or death for both the mother and the baby in the event of an accident. Seatbelts are crucial for safety.

Choice D rationale

Removing the seatbelt when driving at a slow speed still poses a significant risk. Even at low speeds, sudden stops or collisions can cause harm to both mother and baby. Consistent seatbelt use is essential.

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A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.Assessment findings include blood pressure: 149/93 mm Hg, pulse: 80 beats/min, respiratory rate: 16 breaths/min.The nurse suspects preeclampsia.What additional finding would the nurse assess for?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client receiving Magnesium Sulfate therapy IV for preterm labor.Which of the following medications should the nurse anticipate administering if the client exhibits hypotension, decreased urine output, and a respiratory rate of 10/min?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.Assessment findings include blood pressure: 149/93 mm Hg, pulse: 80 beats/min, respiratory rate: 16 breaths/min.The nurse suspects preeclampsia.What additional finding would the nurse assess for?

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A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.
Assessment findings include blood pressure: 149/93 mm Hg, pulse: 80 beats/min, respiratory rate: 16 breaths/min.
The nurse suspects preeclampsia.
What additional finding would the nurse assess for?