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

Answer and Explanation

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.

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Correct Answer is B

Explanation

Correct Answer: B

B. Administer broad-spectrum antibiotics
Newborns with a leaking myelomeningocele are at a high risk for infection, especially meningitis, due to the exposure of cerebrospinal fluid (CSF). Administering broad-spectrum antibiotics helps reduce the risk of infection until the defect is surgically closed.

Incorrect answers:

A.Monitor the rectal temperature every 4 hr.Taking rectal temperatures is contraindicated in a newborn with a myelomeningocele due to the risk of trauma to the rectum and potential introduction of bacteria near the exposed spinal cord and CSF. Axillary temperatures should be used instead.

C.Prepare for surgical closure after 72 hr.Surgical repair of a myelomeningocele is typically performed within the first 24–48 hours of life to reduce the risk of infection and prevent further nerve damage.

D.Cleanse the site with povidone-iodine. Povidone-iodine is not appropriate for cleansing the exposed myelomeningocele site because it can be too harsh and toxic to neural tissue.

A. Obtain an imprint of the infant’s feet prior to taking him to the nursery. B. Check the newborn's identification using the crib card C. Replace the infant’s identification band after his name has been recorded D. Require visitors to wear an identification band

Correct Answer is B

Explanation

A. Obtain an imprint of the infant’s feet prior to taking him to the nursery: While obtaining an imprint of the infant’s feet can be a sentimental and identification measure, the immediate focus should be on checking the newborn's identification using more standard and immediate methods.

B. Check the newborn's identification using the crib card: This is the correct answer. Checking the newborn's identification against the crib card or other hospital-issued identification is a crucial step in ensuring accurate and secure identification. This should be done consistently by healthcare providers during any interactions or care procedures involving the newborn.

C. Replace the infant’s identification band after his name has been recorded: The policy should emphasize the importance of maintaining the integrity of the newborn's identification band, but it should not specifically state that it needs to be replaced after the name has been recorded.

D. Require visitors to wear an identification band: While visitor identification may be important for security reasons, the primary focus of this policy should be on the identification of the newborn. The responsibility for accurate identification lies primarily with healthcare providers.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in planning care immediately following birth for a newborn who has a myelomeningocele that is leaking cerebrospinal fluid. Which of the following actions should the nurse include in the plan of care?

Correct Answer is B

Explanation

A nurse manager is revising a maternal unit policy to ensure proper identification of newborns. Which of the following should the nurse include in the policy?

Correct Answer is B

Explanation

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