A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?

Flumazenil

Calcium gluconate

Naloxone

Protamine sulfate

Answer and Explanation

The Correct Answer is B

A. Flumazenil: Flumazenil is an antidote for benzodiazepine overdose, not for magnesium toxicity.

B. Calcium gluconate. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be administered when signs of toxicity, such as respiratory depression, occur.

C. Naloxone: Naloxone is an antidote for opioid overdose, not magnesium toxicity.

D. Protamine sulfate: Protamine sulfate is the antidote for heparin overdose, not magnesium toxicity.

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Correct Answer is D

Explanation

A. Pain just above the navel: Labor pain typically begins in the lower abdomen or back. Pain above the navel is not a definitive sign of labor.

B. Contractions every 5 to 10 min. Regular contractions are a sign of labor, but they must be accompanied by cervical changes (dilation and effacement) to confirm true labor.

C. Amniotic fluid in the vaginal vault. The presence of amniotic fluid indicates rupture of membranes, but it does not confirm labor unless cervical changes are present.

D. Cervical dilation and effacement. Cervical dilation (opening) and effacement (thinning) are definitive signs of true labor.

A. First stage B. Third stage C. Fourth stage D. Second Stage

Correct Answer is D

Explanation

A. First stage: The first stage of labor begins with the onset of regular contractions and ends with full dilation (10 cm) of the cervix.

B. Third stage: The third stage of labor begins after the birth of the baby and ends with the delivery of the placenta.

C. Fourth stage: The fourth stage of labor involves the immediate postpartum period after the placenta is delivered, focusing on stabilization of the mother.

D. Second Stage: The second stage of labor begins with complete cervical dilation (10 cm) and ends with the birth of the baby.

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A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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