When administering magnesium sulfate for preeclampsia the nurse knows that this drug is given to:
Increase the progress of labor
Decrease blood pressure
Prevent seizures
Prevent contractions
The Correct Answer is C
A. Increase the progress of labor: Magnesium sulfate does not stimulate uterine contractions or accelerate labor. Its pharmacologic action primarily affects neuromuscular excitability rather than uterine contractility.
B. Decrease blood pressure: While magnesium sulfate may have a mild vasodilatory effect, it is not used as a primary antihypertensive in preeclampsia. Blood pressure management typically involves medications such as labetalol, hydralazine, or nifedipine.
C. Prevent seizures: Magnesium sulfate acts as a central nervous system depressant and blocks neuromuscular transmission, reducing the risk of eclampsia by preventing seizure activity in clients with severe preeclampsia. It is the drug of choice for seizure prophylaxis during pregnancy.
D. Prevent contractions: Although magnesium sulfate has some tocolytic properties at high doses, its standard use in preeclampsia is for seizure prevention rather than inhibition of labor, and it is not the first-line agent for stopping preterm contractions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Jaundice: Jaundice in neonates is typically related to elevated bilirubin levels and liver immaturity rather than low blood glucose levels. Monitoring for jaundice would not address immediate hypoglycemic symptoms.
B. Erythema toxicum: This is a common, benign rash seen in healthy newborns and is unrelated to blood glucose abnormalities or hypoglycemia.
C. Jitters, tremors: Neurologic manifestations such as jitters, tremors, irritability, and poor feeding are classic signs of neonatal hypoglycemia and indicate the need for prompt intervention.
D. Subconjunctival hemorrhage: This occurs from birth trauma, particularly vaginal delivery, and is not associated with low blood glucose or metabolic disturbances in the neonate.
Correct Answer is A
Explanation
A. The nurse is responsible for determining that the parents or legal guardians understand what they are signing by asking them pertinent questions: Nurses play a key role in verifying comprehension of the procedure, clarifying information, and ensuring that the consent is informed. They do not provide detailed explanations of the procedure but ensure understanding.
B. The physician is responsible for serving as a witness to the signature process: The physician’s primary role is to provide the information about the procedure, risks, benefits, and alternatives, not to act as a witness. Witnessing is typically the nurse’s responsibility if required.
C. The physician is responsible for ensuring that the consent form is completed with signatures from the parents or legal guardians: Physicians ensure informed consent is obtained but do not necessarily verify the actual signatures; this is part of the documentation and nursing verification process.
D. The nurse is responsible for informing the child and family about the procedure and obtaining consent: Nurses reinforce understanding but do not independently provide detailed explanations or obtain legal consent; this remains the physician’s responsibility.
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