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 D

Explanation

A nurse caring for a client who is receiving prenatal care and is at her 24-week appointment should plan to conduct a one-hour glucose tolerance test.

This test is done to screen for gestational diabetes that can develop during pregnancy.

Choice A, Group B strep culture, is not an answer because it is a test usually done between 35-37 weeks of pregnancy to check for the presence of Group B streptococcus bacteria.

Choice B, Rubella titer, is not an answer because it is a blood test usually done early in pregnancy to check for immunity to rubella.

Choice C, Blood type and Rh, is not an answer because it is a blood test usually done early in pregnancy to determine the mother’s blood type and Rh factor.

A. BP 88/58 mm Hg B. Urinary output 40 mL/hr C. FHR 120/min. D. Fasting blood glucose 75 mg/dL

Correct Answer is A

Explanation

Terbutaline is a medication that can cause serious side eﬀects such as ante (low blood pressure).
A blood pressure reading of 88/58 mm Hg is considered low and could be a sign
of hypotension.

The nurse should withhold the medication and report this ﬁnding to the provider.

Choice B is not an answer because a urinary output of 40 mL/hr is within the
normal range.

Choice Cis not an answer because a fetal heart rate (FHR) of 120/min is within the normal range.

Choice Dis not an answer because a fasting blood glucose level of 75 mg/dL is
within the normal range.

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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 receiving prenatal care and is at her 24-week appointment. Which of the following laboratory tests should the nurse plan to conduct?

Correct Answer is D

Explanation

A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?

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?