A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is ordered. What is the primary goal for magnesium sulfate therapy?
Decrease proteinuria.
Prevent maternal seizures.
Reduce deep tendon reflexes.
The Correct Answer is B
Choice A rationale
Decrease proteinuria is not the primary goal for magnesium sulfate therapy. It's an indicator of kidney function and hypertension severity. Therapy focuses on neuroprotection and seizure prevention. Proteinuria reflects preeclampsia's renal impact, not neuroprotection.
Choice B rationale
Prevent maternal seizures is magnesium sulfate's primary goal. It stabilizes neuronal membranes, reducing seizure risk in severe preeclampsia. By inhibiting NMDA receptors and calcium channels, it prevents seizures, critical for maternal-fetal safety.
Choice C rationale
Reduce deep tendon reflexes is not magnesium sulfate's primary goal, but a side effect. It signifies therapeutic levels, indicating potential toxicity. Reflex reduction helps assess magnesium toxicity risk, ensuring safe neuroprotective dosing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A boggy uterus indicates uterine atony, a leading cause of postpartum hemorrhage, as the uterus fails to contract effectively to compress blood vessels.
Choice B rationale
Moderate lochia rubra is expected postpartum vaginal bleeding, representing normal shedding of the uterine lining, not specifically indicating hemorrhage risk.
Choice C rationale
A first-degree perineal laceration is a minor tear that does not significantly increase the risk for postpartum hemorrhage as it usually involves limited bleeding.
Choice D rationale
Hypotension alone does not increase the risk for postpartum hemorrhage; however, it could be a result of ongoing hemorrhage rather than a cause.
Correct Answer is C
Explanation
Choice A rationale
While taking antipsychotics is important, the nurse’s immediate priority should be to assess for harm to the patient or infant, which poses an immediate danger.
Choice B rationale
Monitoring the infant’s health is important but secondary to ensuring the patient and infant's immediate safety from potential harm due to psychosis.
Choice C rationale
Assessing thoughts of harm is crucial in postpartum psychosis as it helps in identifying immediate risks to the patient and infant, allowing for timely interventions.
Choice D rationale
Reviewing the medical record for bipolar disorder is important for treatment planning but not as immediately critical as assessing for thoughts of harm.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.