The nurse is caring for a client who is being treated with Magnesium Sulphate.

Ordered 2g/hr

Supplied 10g/250ml bag

What would be the correct calculations for the maintenance dose in ml/hr

A. Limit the amount of time the infant nurses on each breast is not an effective strategy for preventing sore nipples. The issue is usually related to poor latch or positioning, not the duration of breastfeeding. Limiting nursing time could negatively impact milk supply and bonding.

B. Apply nipple shields when not breastfeeding the infant is not typically recommended as a preventive measure for sore nipples. Nipple shields are more often used to assist with latching problems, not to prevent soreness. Prolonged use can sometimes contribute to nipple confusion and further complications.

C. Instruct client to apply lanolin-based product to nipples can provide temporary relief for sore or cracked nipples, but it does not prevent soreness. The root cause of nipple pain is often related to improper positioning and latch, so this is more of a remedy than a preventive measure.

D. Ensure that the client positions and latches the infant correctly on the breast is the most effective way to prevent sore nipples. A proper latch ensures that the infant is effectively removing milk and reduces the likelihood of nipple trauma. The nurse should help the client with correct positioning, ensuring that the infant's mouth covers a large portion of the areola, not just the nipple.

A. A pulse rate of 66 beats per minute is within the normal range for a postpartum woman, particularly 12 hours after birth. It's common for the pulse rate to decrease after delivery, as the body stabilizes and returns to its pre-pregnancy state. This is not a cause for concern and can be considered a normal physiological response to the postpartum period.

B. Contact the primary care provider, as it indicates early DIC (disseminated intravascular coagulation). This is unlikely, as DIC typically presents with more severe symptoms, such as bleeding, bruising, and a drop in blood pressure, not a lower pulse rate. A normal or slightly decreased pulse is not indicative of DIC.

C. While it's important to monitor for signs of anemia in the postpartum period (such as fatigue, dizziness, or weakness), a pulse of 66 beats per minute is not a typical sign of anemia. Anemia would more likely be accompanied by other symptoms, such as pallor or weakness.

D. Postpartum eclampsia typically presents with high blood pressure, severe headache, visual disturbances, or seizures, not a low pulse rate. A pulse rate of 66 beats per minute is not a sign of eclampsia.