A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor. The nurse should monitor the client for which of the following findings as an indication of magnesium sulfate toxicity?

"Respiratory rate 10/min"

"Urine output 40 mL/hr"

"Nausea"

"Facial flushing"

Answer and Explanation

The Correct Answer is A

A. A respiratory rate of 10/min indicates magnesium sulfate toxicity, which can cause respiratory depression. Close monitoring of respiratory rate is essential to identify and manage potential toxicity.
B. Urine output of 40 mL/hr is not an immediate sign of toxicity but requires monitoring. Decreased urine output can be a sign of complications, but it is not the primary indicator of magnesium sulfate toxicity.
C. Nausea is a common side effect of magnesium sulfate but not necessarily indicative of toxicity. More severe symptoms like respiratory depression are critical for diagnosing toxicity.
D. Facial flushing is a common, mild side effect of magnesium sulfate and not a sign of toxicity. Monitoring for more severe symptoms is essential to assess for toxicity.

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Correct Answer is A

Explanation

A. The lecithin/sphingomyelin (L/S) ratio assesses fetal lung maturity. A higher ratio indicates that the baby's lungs are mature enough to handle breathing air outside the womb, which is the primary purpose of this test.
B. The L/S ratio test does not assess placental function. Placental function is evaluated through other tests, such as Doppler studies or biophysical profiles.
C. The L/S ratio test is not related to Rh incompatibility. Rh incompatibility issues are managed through different assessments, such as the Coombs test and Rh factor screening.
D. The L/S ratio test does not indicate genetic disorders. Genetic disorders are assessed through tests like amniocentesis or chorionic villus sampling, not the L/S ratio.

A. "Decreased muscle tone" B. "Exaggerated Moro reflex" C. "Weak cry" D. "Consoles easily"

Correct Answer is B

Explanation

A. Decreased muscle tone is not a typical manifestation of neonatal abstinence syndrome. Symptoms of neonatal abstinence syndrome usually include increased muscle tone and irritability.
B. An exaggerated Moro reflex is a sign of neonatal abstinence syndrome. This reflex can be more pronounced in infants experiencing withdrawal from substances.
C. A weak cry is not characteristic of neonatal abstinence syndrome. Infants with this syndrome may have a high-pitched, excessive, or persistent cry.
D. Neonates with abstinence syndrome are difficult to console. They may have persistent crying and be hard to calm, which contrasts with the ability to console easily.

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A nurse is assisting with the care of a client who received magnesium sulfate to treat preterm labor. The nurse should monitor the client for which of the following findings as an indication of magnesium sulfate toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is undergoing amniotic fluid assessment for the lecithin/sphingomyelin ratio. Which of the following client statements indicates an understanding of the teaching?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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