When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:

A. Increase diuresis.

Prevent seizures.

Reduce blood pressure.

Slow the process of labor.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Magnesium sulfate is not given to increase diuresis; this is not its primary effect and is incorrect in the context of treating preeclampsia.

Choice B rationale

Magnesium sulfate is administered to prevent seizures in patients with preeclampsia. It acts as a central nervous system depressant and helps in preventing eclampsia.

Choice C rationale

Although magnesium sulfate may have a mild effect on reducing blood pressure due to its vasodilatory properties, this is not its primary purpose in the management of preeclampsia.

Choice D rationale

Magnesium sulfate is not used to slow the process of labor; its main role is seizure prophylaxis in preeclampsia.

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Correct Answer is B

Explanation

Choice A rationale

Prior amniotic fluid leakage is not a required criterion for amniotomy. The main concern is cervical readiness and fetal head position, not previous leakage.

Choice B rationale

The fetal head engaged in the maternal pelvis ensures proper pressure and position for safe amniotomy. Engagement reduces the risk of umbilical cord prolapse and injury.

Choice C rationale

Certification of the nurse for amniotomy is not a standard criterion. The procedure is performed by qualified professionals, but certification isn't a prerequisite for the procedure to be scheduled.

Choice D rationale

Ultrasound to check the umbilical cord's position isn't a standard pre-amniotomy criterion. While it can be useful, the primary concern is the fetal head engagement and cervical readiness.

A. Check each urine for presence of ketones. B. Pad the client's bed rails and headboard. C. Provide visual and auditory stimulation. D. Place the bed in the high Fowler's position.

Correct Answer is B

Explanation

Choice A rationale

Checking for ketones in urine is related to metabolic conditions like diabetic ketoacidosis, not directly relevant to the immediate care of an eclamptic client.

Choice B rationale

Padding the bed rails and headboard helps prevent injury during seizures, which is crucial in managing a client with eclampsia.

Choice C rationale

Providing visual and auditory stimulation can increase the risk of further seizures in an eclamptic client. Reducing stimulation is usually recommended.

Choice D rationale

Placing the bed in the high Fowler's position is not appropriate for managing a client post-seizure. The priority is ensuring airway patency and preventing injury.

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When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient who is at 39 weeks' gestation is scheduled for amniotomy.The nurse is aware that which criteria must be met before the procedure?

Correct Answer is B

Explanation

The nurse observes a new staff member caring for an eclamptic client following a seizure.Which of the following actions by the staff member indicates an understanding of eclampsia?

Correct Answer is B

Explanation

The principal risk factor predictive of preterm birth is:

When assisting with a vacuum-assisted vaginal delivery, the nurse is aware that adherence to which guidelines for the vacuum device will minimize the nurse's liability in vacuum-assisted vaginal births? Select all that apply.

Postpartum endometritis is:

A client with an obstetrical history of G1 P0000 received dinoprostone for cervical ripening 8 hours ago.The Bishop score at that time was 4. The Bishop score is now 10. Which of the following actions by the nurse is appropriate?

The nurse is assisting the primary care provider (PCP) with a vacuum-assisted delivery because of a prolonged second stage of labor.The nurse will inform the PCP when which guideline of the procedure is met?

An 18-hour-old baby with an elevated bilirubin level is placed under the bili lights.Which of the following is an expected nursing action in these circumstances?

The nurse is caring for the postpartum client.Which assessment finding should prompt the nurse to conclude that the administration of carboprost tromethamine (Hemabate) has been effective?

A gravid patient in labor suddenly has dyspnea, hypotension, frothy sputum, and loss of consciousness.The nurse knows these are signs and symptoms of which obstetrical emergency?