A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion.
Which of the following findings should the nurse report to the provider?

Decrease in frequency of contractions.

Urinary output 35 mL/hr.

Absent deep-tendon reﬂexes.

BP 150/100 mm Hg.

Answer and Explanation

The Correct Answer is C

A nurse should report absent deep-tendon reﬂexes to the provider when a client is receiving magnesium sulfate via continuous IV infusion.

This is because reduced tendon reﬂexes can be a side eﬀect of magnesium sulfate use during pregnancy.

Choice A is not correct because a decrease in the frequency of contractions is an expected outcome of magnesium sulfate use as a tocolytic to stop preterm labor.

Choice B is not correct because a urinary output of 35 mL/hr is within the normal range.

Choice D is not correct because an elevated blood pressure is not a known side eﬀect of magnesium sulfate use during pregnancy.

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Correct Answer is A

Explanation

A. The nurse should monitor for chorioamnionitis, which is an infection of the amniotic sac and ﬂuid.

The other choices are not potential complications of gonorrhea:

B. Vaginal laceration during birth is not a complication of gonorrhea.

C. Oligohydramnios is not a complication of gonorrhea.

D. Excessive bleeding after birth is not a complication of gonorrhea.

A. Feed the newborn immediately. B. Administer 50 mL of dextrose solution IV. C. Reassess the blood glucose level prior to the next feeding. D. Obtain a blood sample for a serum glucose level.

Correct Answer is A

Explanation

A bedside glucometer reading of 65 mg/dL is within the normal range for a newborn who is 6 hours old.
Feeding the newborn can help maintain their blood glucose level.

Choice B is not an answer because administering 50 mL of dextrose solution IV is not necessary for a newborn with a normal blood glucose level.
Choice C is not an answer because reassessing the blood glucose level prior to the next feeding is not necessary for a newborn with a normal blood glucose level.
Choice D is not an answer because obtaining a blood sample for a serum glucose
level is not necessary for a newborn with a normal blood glucose level.

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A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in active labor and has gonorrhea. For which of the following potential complications of gonorrhea should the nurse monitor?

Correct Answer is A

Explanation

A nurse is caring for a newborn who is 6 hours old and has a bedside glucometer reading of 65 mg/dL. The newborn's mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion.
Which of the following findings should the nurse report to the provider?