A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Increased fetal movement

Increased respiratory rate

Increased muscle weakness

Increased urinary output

Answer and Explanation

The Correct Answer is C

The correct answer is choice C, "Increased muscle weakness." The nurse should instruct the client to report increased muscle weakness, as this can indicate toxicity from magnesium sulfate. Increased fetal movement is not an indication of toxicity from magnesium sulfate. Increased respiratory rate is a common side effect of magnesium sulfate and does not require intervention unless it is significantly increased. Increased urinary output is a normal effect of magnesium sulfate and does not require intervention.

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Correct Answer is B

Explanation

The correct answer is choice B, "Allow the baby to feed at least every 3 hr." The nurse should instruct the client who is breastfeeding her newborn to allow the baby to feed at least every 3 hr, which can help to establish an adequate milk supply. The client should also be instructed to feed the newborn on demand, offer both breasts at each feeding, and continue to breastfeed for as long as the baby is interested. The nurse should advise the client to expect at least six to eight wet diapers every 24 hr and monitor the newborn for signs of dehydration, such as a decrease in urine output, dry mucous membranes, or lethargy.

A. Macrosomia B. Hearing loss C. Urinary tract infection D. Cataracts

Correct Answer is B

Explanation

The correct answer is choice B: Hearing loss. Cytomegalovirus (CMV) is a common virus that can cause serious complications in infants who are infected with the virus during pregnancy. Infants with congenital CMV infection can have hearing loss, vision impairment, and developmental delays.

Choice A, macrosomia, choice C, urinary tract infection, and choice D, cataracts, are not typical findings in infants with congenital CMV infection.

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A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to a client who is breastfeeding her newborn. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?

Correct Answer is B

Explanation

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