Magnesium Sulfate is being administered intravenously to a client for pregnancy-induced hypertension.
Which assessment finding should the nurse identify as a complication of this treatment?

Choice A rationale:

Identification of fetal heartbeat (Choice A) is a positive sign of pregnancy. This can be detected using a Doppler device or ultrasound, confirming the presence of a living fetus.

Choice B rationale:

Palpation of fetal outline (Choice B) is another positive sign of pregnancy. Experienced healthcare providers can palpate the fetus through the abdominal wall, feeling its shape and movements.

Choice D rationale:

Verification of fetal movement (Choice D) is also a positive sign of pregnancy. Feeling fetal movements, known as quickening, is an indication of a viable pregnancy.

Choice E rationale:

A positive human chorionic gonadotropin (hCG) test (Choice E) confirms pregnancy. hCG is a hormone produced by the placenta and is present in the blood and urine of pregnant women.

Choice C rationale:

Visualization of the fetus (Choice C) through methods like ultrasound is a positive sign of pregnancy, but it is not typically used for diagnosis in early pregnancy. Palpation of fetal outline and identification of fetal heartbeat are more reliable positive signs.

The correct answer is choiceD. Give small amounts of favorite fluids frequently to prevent dehydration.

Choice A rationale:

Giving tepid water baths to reduce fever is not the most effective intervention for an infant with an upper respiratory tract infection and elevated temperature. While tepid baths can help lower body temperature, they are not as effective as antipyretic medications like acetaminophen or ibuprofen.Additionally, frequent fluid intake is more critical to prevent dehydration, which is a common concern in infants with fever.

Choice B rationale:

Encouraging food intake to maintain caloric needs is important, but it is not the primary concern in this scenario. Infants with upper respiratory infections often have reduced appetites due to congestion and discomfort.Ensuring adequate fluid intake is more crucial to prevent dehydration, which can occur quickly in infants.

Choice C rationale:

Having the child wear heavy clothing to prevent chilling is not recommended. Overdressing can actually increase body temperature and discomfort.It is better to dress the infant in lightweight clothing and use a light blanket if needed to keep them comfortable while allowing their body to regulate temperature more effectively.

Choice D rationale:

Giving small amounts of favorite fluids frequently to prevent dehydration is the most appropriate intervention. Infants with upper respiratory infections and fever are at risk of dehydration due to increased fluid loss from fever and reduced fluid intake.Offering small, frequent amounts of fluids helps maintain hydration and can also soothe the throat and reduce discomfort.