A nurse is evaluating the fetal heart rate tracing of a client who is in pre-term labor and receiving magnesium sulfate.

The nurse should identify that which of the following patterns indicates a potential adverse effect of the medication on the fetus?

Accelerations

Early decelerations

Variable decelerations

Absent variability

Answer and Explanation

The Correct Answer is D

According to the search results, magnesium sulfate can have a negative effect on the fetal heart rate (FHR) by lowering the baseline, decreasing the variability, and reducing the reactivity or acceleration pattern. Absent variability means that there is no fluctuation in the FHR and it indicates fetal hypoxia or acidosis.

This is a potential adverse effect of magnesium sulfate on the fetus and requires immediate intervention.

Choice A. Accelerations is wrong because accelerations are transient increases in the FHR that indicate fetal well-being. They are not affected by magnesium sulfate.

Choice B. Early decelerations is wrong because early decelerations are decreases in the FHR that occur with uterine contractions and are caused by fetal head compression. They are benign and do not indicate fetal distress. They are not associated with magnesium sulfate.

Choice C. Variable decelerations is wrong because variable decelerations are abrupt decreases in the FHR that vary in shape, duration, and timing and are caused by umbilical cord compression.

They may or may not indicate fetal compromise.

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Correct Answer is D

Explanation

All of the above.

Respiratory distress syndrome (RDS) is a condition that affects preterm newborns who have immature lungs and lack sufficient surfactant.

Surfactant is a substance that helps keep the alveoli open and prevents them from collapsing.

Without enough surfactant, the newborn has difficulty breathing and may develop hypoxia and acidosis.

Choice A is wrong because tachypnea and grunting are signs of respiratory distress, but they are not specific to RDS.

They can also be caused by other conditions such as transient tachypnea of the newborn, pneumonia, or congenital heart defects.

Choice B is wrong because bradycardia and cyanosis are also signs of respiratory distress, but they are not specific to RDS.

They can also be caused by other conditions such as hypothermia, hypoglycemia, or sepsis.

Choice C is wrong because apnea and nasal flaring are also signs of respiratory distress, but they are not specific to RDS.

They can also be caused by other conditions such as intracranial ...

A. Decreased platelet count B. Increased serum creatinine C. Decreased hematocrit D. Increased serum potassium

Correct Answer is B

Explanation

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can cause renal impairment and elevated serum creatinine levels in both the mother and the fetus.This can lead to oligohydramnios, reduced fetal urine output, and fetal renal failure.

Therefore, the nurse should monitor the serum creatinine levels of the client and the fetus as a potential complication of indomethacin.

Choice A is wrong because indomethacin does not affect the platelet count.It may increase the risk of bleeding due to its antiplatelet effect, but it does not cause thrombocytopenia.

Choice C is wrong because indomethacin does not cause anemia or decrease the hematocrit.It may cause gastrointestinal bleeding or ulceration, which could lead to anemia, but this is not a common or direct effect of the medication.

Choice D is wrong because indomethacin does not cause hyperkalemia or increase the serum potassium levels.It may cause hyponatremia due to its effect on renal sodium excretion, but it does not affect potassium balance.

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A nurse is evaluating the fetal heart rate tracing of a client who is in pre-term labor and receiving magnesium sulfate. The nurse should identify that which of the following patterns indicates a potential adverse effect of the medication on the fetus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a pre-term newborn who was born at 28 weeks of gestation. Which of the following findings indicates a possible diagnosis of respiratory distress syndrome (RDS)?

Correct Answer is D

Explanation

A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin. Which of the following findings should the nurse monitor for as a potential complication of the medication?

Correct Answer is B

Explanation

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A nurse is evaluating the fetal heart rate tracing of a client who is in pre-term labor and receiving magnesium sulfate. The nurse should identify that which of the following patterns indicates a potential adverse effect of the medication on the fetus?

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A nurse is evaluating the fetal heart rate tracing of a client who is in pre-term labor and receiving magnesium sulfate.

The nurse should identify that which of the following patterns indicates a potential adverse effect of the medication on the fetus?