A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the woman and documents the following findings: temperature of 98.1F, pulse rate of 96 beats/min, respiratory rate of 10 breaths/min, blood pressure (BP) of 135/90 mm Hg, 1+ deep tendon reflexes, and not ankle clonus. The nurse calls the physician, anticipating an order for:
Select one:
Diazepam.
Hydralazine orally twice a day.
Calcium Gluconate
Second bolus of Magnesium sulfate.
The Correct Answer is C
a. Diazepam is not indicated for the treatment of severe preeclampsia.
b. Hydralazine orally twice a day is not indicated for the treatment of severe preeclampsia.
c. Calcium Gluconate is indicated for the treatment of hypermagnesemia, which can occur as a result of magnesium sulfate infusion.
d. This will worsen the magnesium toxicity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. The second stage of labor begins when the cervix is fully dilated and ends with the birth of the baby. The latent phase is the early part of the second stage when the woman may be resting between contractions.
b. The first stage, transition phase is from 8 to 10 cm dilation, with strong and frequent contractions.
c. The first stage, latent phase is the early part of the first stage of labor when the cervix is dilated from 0 to 4 cm and contractions are mild and irregular.
d. The first stage, active phase is from 4 to 7 cm dilation, with moderate and regular contractions.
Correct Answer is D
Explanation
a. Smoking is not directly associated with neural tube defects.
b. Smoking is not directly associated with type 1 diabetes mellitus.
c. While smoking during pregnancy is harmful, it is not specifically associated with congenital heart defects.
d. Smoking during pregnancy is a known risk factor for intrauterine growth restriction, which can lead to low birth weight and other complications for the newborn
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