A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?
This medication increases cardiac output
This medication stabilizes the fetal heart rate
The medication improves tissue perfusion
The medication prevents seizures
The Correct Answer is D
A. This medication increases cardiac output: Magnesium sulfate does not typically increase cardiac output. Its primary role in the context of preeclampsia is to prevent seizures and manage hypertension.
B. This medication stabilizes the fetal heart rate: While magnesium sulfate can have a relaxing effect on the uterus, which might indirectly influence fetal heart rate, its primary purpose in preeclampsia is seizure prevention rather than fetal heart rate stabilization.
C. The medication improves tissue perfusion: Magnesium sulfate primarily functions as an anticonvulsant and tocolytic (relaxes the uterus). While its effects on vasodilation can contribute to improved blood flow, the primary indication in preeclampsia is seizure prevention.
D. The medication prevents seizures
Magnesium sulfate is commonly used in the management of preeclampsia to prevent seizures (eclampsia), a serious complication of the condition. It has anticonvulsant properties and is the primary medication for seizure prophylaxis in pregnant individuals with preeclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lentils: Lentils are an excellent source of dietary fiber. They provide both soluble and insoluble fiber and are high in protein. One cup of cooked lentils can contain a significant amount of fiber.
B. Asparagus: Asparagus is a nutritious vegetable, but its fiber content is relatively lower compared to lentils. It contains soluble and insoluble fiber, contributing to overall dietary fiber intake.
C. Oatmeal: Oatmeal is a good source of soluble fiber, particularly beta-glucans. While it is a healthy choice for increasing fiber intake, the actual fiber content per cup can vary depending on the type and preparation of oatmeal.
D. Cabbage: Cabbage is a vegetable that contains fiber, but its fiber content per cup is generally lower compared to lentils. It is a good addition to a high-fiber diet but may not provide as much fiber in a single cup serving.
Correct Answer is D
Explanation
A. "You cannot have an amniocentesis until you are at least 35 years of age": This statement is not accurate. While advanced maternal age (35 years or older) is often a factor considered for offering amniocentesis due to the increased risk of chromosomal abnormalities, it is not the only factor. Amniocentesis may be recommended for various medical reasons, such as a history of genetic disorders or abnormal prenatal screening results.
B. "We can schedule the procedure for later today if you'd like": The decision to undergo amniocentesis should not be made lightly, and it is typically based on medical indications or concerns. Immediate scheduling without a medical reason is not appropriate. Informed consent and discussion with the healthcare provider about the risks and benefits of the procedure are essential.
C. "Your provider will schedule a chorionic villus sampling to determine the sex of your baby": Chorionic villus sampling (CVS) is a different prenatal diagnostic procedure used to obtain a small sample of placental tissue for genetic testing. It is not typically used solely for determining the sex of the baby. Amniocentesis is the procedure commonly used for both genetic testing and determining the sex of the fetus.
D. "This procedure determines if your baby has genetic or congenital disorders": This is the most appropriate response. Amniocentesis is a diagnostic procedure that involves the removal of a small amount of amniotic fluid for analysis. It is commonly used to assess the risk of genetic and congenital disorders, including chromosomal abnormalities.
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