A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Which of the following findings should the nurse report to the provider?

Headache for 30 min

Fetal heart rate 158/min

Respirations 16/min

Urinary output 40 mL in 2 hr

Answer and Explanation

The Correct Answer is D

Rationale:

A. Headache can be a common side effect of magnesium sulfate but is usually not concerning unless severe or persistent.

B. A fetal heart rate of 158/min is within the normal range for a fetus and is not typically associated with magnesium sulfate administration.

C. Respirations of 16/min are within the normal range and are not typically associated with magnesium sulfate administration.

D. A urinary output of 40 mL in 2 hours is significantly reduced and may indicate magnesium toxicity or impaired renal function, which should be reported to the provider for further

evaluation and management.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Rationale:

A. While covering the cord with a sterile, moist saline dressing is important, it is not the first priority when the umbilical cord is prolapsed.

B. While preparing for an immediate birth may become necessary, the first action should be to relieve pressure on the cord to prevent cord compression and compromise to fetal circulation.

C. This is the priority action to prevent cord compression and maintain fetal oxygenation.

D. Placing the client in the knee-chest position can help relieve pressure on the cord, but the nurse's immediate action should be to manually support the cord while awaiting further

instructions from the healthcare provider.

A. "We will give my baby a pacifier during naps and at bedtime." B. "Our baby will sleep in our bed because I am breastfeeding." C. "We will place my baby on her back when sleeping." D. "We will remove blankets and toys from the crib."

Correct Answer is B

Explanation

Rationale:

A. Using a pacifier during naps and bedtime is recommended as it has been associated with a decreased risk of SIDS.

B. Bed-sharing, especially with a breastfeeding mother, is a risk factor for SIDS. The American Academy of Pediatrics recommends room-sharing without bed-sharing.

C. Placing the baby on her back for sleep is a safe sleep practice and helps reduce the risk of SIDS.

D. Removing blankets and toys from the crib reduces the risk of suffocation and is a recommended safe sleep practice.

View Question and Answer

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

A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse perform first?

Correct Answer is C

Explanation

A nurse is educating new parents about risk factors for sudden infant death syndrome (SIDS).Which of the following statements should indicate to the nurse the need for additional teaching?

Correct Answer is B

Explanation

A nurse is caring for a male client who has a new diagnosis of genital herpes (HSV 2). Which of the following findings should the nurse expect?

A nurse is providing teaching to the mother of a newborn born small for gestational age.Which of the following should the nurse include as a possible cause of this condition?

A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn. The mother asks, "How will I know if my baby gets enough breast milk?" Which of the following responses should the nurse make?

A nurse in a provider's clinic is caring for a client who reports erectile dysfunction and requests a prescription for sildenafil. Which of the following medications currently prescribed for the client is a contraindication to taking sildenafil?

A nurse is reviewing data for four children. Which of the following children should the nurse assess first?

A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.
Which of the following findings should the nurse report to the provider?