A nurse is caring for a client with PROM who is receiving magnesium sulfate as a tocolytic agent.

Which of the following assessments should the nurse perform to monitor for magnesium toxicity?

Deep tendon reflexes

Urine output

Serum magnesium level

All of the above.

Answer and Explanation

The Correct Answer is D

The nurse should perform all of the assessments listed to monitor for magnesium toxicity.

Magnesium sulfate is a drug that is given to prevent preterm labor by relaxing the uterine muscle.

However, it can also cause serious side effects such as weakness, low blood pressure, respiratory paralysis, and cardiac problems if the level of magnesium in the blood is too high.

The normal level of magnesium in the blood is about 1.5-2.5 mEq/L. Symptoms of toxicity may appear when the level reaches 4 mEq/L or higher.

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Correct Answer is B

Explanation

Increased amniotic fluid index indicates a positive outcome of antibiotic therapy for a client who has PPROM at 28 weeks of gestation.Antibiotics are used to prevent or treat infection and prolong pregnancy in women with PPROM.Infection can cause oligohydramnios (low amniotic fluid) which can lead to fetal complications such as cord compression, pulmonary hypoplasia and limb deformities.

Therefore, an increased amniotic fluid index suggests that the infection has been reduced or resolved and the risk of preterm birth has been lowered.

Normal ranges for amniotic fluid index are 5 to 25 cm.Normal ranges for maternal pulse rate are 60 to 100 beats per minute.Normal ranges for maternal leukocyte count are 4.5 to 11 x 10^9/L.

A. Drinking water B. Taking prenatal vitamins C. Having sexual intercourse D. Performing fetal kick counts

Correct Answer is C

Explanation

Sexual intercourse can trigger uterine contractions and increase the risk of preterm labor.

The nurse should instruct the woman to avoid sexual intercourse if she is at risk for preterm labor.

Choice A is wrong because drinking water is important for hydration and preventing dehydration, which can also cause uterine contractions.

Choice B is wrong because taking prenatal vitamins is essential for providing adequate nutrition and preventing deficiencies that can affect fetal development.

Choice D is wrong because performing fetal kick counts is a way of monitoring fetal well-being and detecting any signs of distress or reduced movement.

The nurse should encourage the woman to perform fetal kick counts regularly and report any concerns to her health care provider.

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A nurse is caring for a client with PROM who is receiving magnesium sulfate as a tocolytic agent. Which of the following assessments should the nurse perform to monitor for magnesium toxicity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the effectiveness of antibiotic therapy for a client who has PPROM at 28 weeks of gestation. Which of the following findings indicates a positive outcome?

Correct Answer is B

Explanation

A nurse is teaching a pregnant woman who is at risk for pre-term labor. Which of the following activities should the nurse instruct the woman to avoid?

Correct Answer is C

Explanation

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A nurse is caring for a client with PROM who is receiving magnesium sulfate as a tocolytic agent.

Which of the following assessments should the nurse perform to monitor for magnesium toxicity?