A nurse is assessing a client who has PPROM at 32 weeks of gestation and is receiving magnesium sulfate infusion for fetal neuroprotection.
Which of the following findings should the nurse report to the provider immediately?
Respiratory rate of 10 breaths/min
Urine output of 40 mL/hr
Deep tendon reflexes of +2
Serum magnesium level of 6 mg/dL.
The Correct Answer is A
This is a sign of magnesium toxicity, which can occur when a client is receiving magnesium sulfate infusion for fetal neuroprotection.
Magnesium sulfate can depress the central nervous system and respiratory system, leading to respiratory depression or arrest. The nurse should report this finding to the provider immediately and stop the infusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
PROM can increase the risk ofintra-amniotic infectionwhich can lead toinflammation of the fetal lungsandrespiratory distress syndrome.
Normal ranges for fetal head circumference vary depending on gestational age and sex, but generally range from about 31 to 40 cm at term.
Correct Answer is ["A","B"]
Explanation
Continuous fetal heart rate monitoring is indicated for clients who have PPROM to detect signs of fetal distress or infection.
corticosteroids are recommended for clients who have PPROM between 24 and 34 weeks of gestation to enhance fetal lung maturity and reduce the risk of respiratory distress syndrome and other neonatal complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today