A nurse is administering a magnesium sulfate infusion for a client with severe preeclampsia. The nurse knows that the goal of magnesium sulfate therapy is to:

Lower blood pressure in the hypertensive client.

Shorten the duration of the labor induction.

Prevent a boggy uterus and lessen lochial flow after delivery.

Prevent and treat seizure activity.

Answer and Explanation

The Correct Answer is D

Magnesium sulfate is a medication commonly used to prevent and treat seizure activity in pregnant women with preeclampsia and eclampsia. It works by decreasing neuromuscular irritability and depressing the central nervous system.

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Correct Answer is C

Explanation

Infants of diabetic mothers (IDM) are at risk of hypoglycemia because they have been exposed to high levels of glucose in utero. The fetus responds to this high glucose level by producing high levels of insulin to regulate the glucose level. After delivery, the glucose supply from the mother is cut off and the infant's insulin levels remain high, leading to hypoglycemia.

Additionally, the infant's ability to produce glucose is immature and may not be sufficient to maintain normal blood glucose levels, especially if the infant is premature or small for gestational age. Therefore, IDM requires close monitoring of their blood glucose levels to prevent and treat hypoglycemia.

A. Your respiratory rate may slow down, so make sure to monitor your breathing rate! B. You will most likely be hospitalized until delivery while on your medication C. You should try to get up slowly and drink plenty of fluids D. You will stop this medication at 28 weeks.

Correct Answer is C

Explanation

Nifedipine is a calcium channel blocker that can cause hypotension as a side effect, so the client should be advised to rise slowly from a sitting or lying position to avoid dizziness or fainting. The client does not necessarily need to be hospitalized and should continue taking the medication until a healthcare provider advises otherwise. The medication is typically continued until around 36-37 weeks gestation. There is no need to monitor respiratory rate with this medication.

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A nurse is administering a magnesium sulfate infusion for a client with severe preeclampsia. The nurse knows that the goal of magnesium sulfate therapy is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

Correct Answer is C

Explanation

Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

Correct Answer is C

Explanation

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