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.
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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Related Questions
Correct Answer is D
Explanation
This is because PPROM increases the risk of infection for both the mother and the baby, and infection can cause fetal tachycardia, maternal leukocytosis, and increased vaginal discharge.
Normal ranges for fetal heart rate are 110 to 160 beats per minute.
Normal ranges for maternal white blood cells are 4,500 to 11,000/mm3.
Normal ranges for vaginal discharge vary depending on the stage of pregnancy and other factors.
Correct Answer is ["A","B","C"]
Explanation
Betamethasone, magnesium sulfate and ampicillin are medications that can be given to a client who has PPROM.
• Betamethasone is a corticosteroid that can help the baby’s lungs mature faster and reduce the risk of respiratory distress syndrome.It is usually given between 24 and 34 weeks of gestation.
• Magnesium sulfate is a tocolytic that can prevent preterm labor and reduce the risk of intraventricular hemorrhage and cerebral palsy in the baby.It is usually given for 24 to 48 hours after PPROM.
• Ampicillin is an antibiotic that can prevent or treat infection in the amniotic fluid, which is a common complication of PPROM.It can also prolong the latency period (the time between PPROM and delivery) and improve neonatal outcomes.
Normal ranges for gestational age are:
• 37 to 42 weeks for term pregnancy
• 34 to 36 weeks for late preterm pregnancy
• 32 to 33 weeks for moderate preterm pregnancy
• 28 to 31 weeks for very preterm pregnancy
• Less than 28 weeks for extremely preterm pregnancy
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