A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia.
Which of the following responses by the nurse is appropriate?

This medication stabilizes the fetal heart rate

This medication improves tissue perfusion

This medication prevents seizures

This medication increases cardiac output

Answer and Explanation

The Correct Answer is C

Choice A rationale
While magnesium sulfate can have an effect on the fetal heart rate, it does not primarily function to stabilize it. Magnesium sulfate is used in the management of preeclampsia primarily due to its anticonvulsant properties.
Choice B rationale
Magnesium sulfate does not primarily function to improve tissue perfusion. Its main role in the management of preeclampsia is to prevent seizures.
Choice C rationale

This is the correct answer. Magnesium sulfate is used in the management of preeclampsia primarily due to its anticonvulsant properties. It helps to prevent seizures in those with severe preeclampsia, which can minimize the risk of complications.
Choice D rationale
Magnesium sulfate does not increase cardiac output. Its primary role in the management of preeclampsia is to prevent seizures.

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Correct Answer is A

Explanation

Choice A rationale
The therapeutic effect of IV oxytocin administration following expulsion of the placenta is a firm and midline fundus. Oxytocin stimulates uterine contractions, which helps the uterus return to its pre-pregnancy size and position.
Choice B rationale
Saturating a perineal pad in 1 hr is not a therapeutic effect of oxytocin. This could be a sign of postpartum hemorrhage.
Choice C rationale
A feeling of vaginal fullness is not a therapeutic effect of oxytocin. This could be a sign of a vaginal hematoma.
Choice D rationale
The client’s umbilical cord lengthening is not a therapeutic effect of oxytocin. This could be a sign of placental separation.

A. Administer 500 ml lactated Ringer’s IV bolus B. Document urinary output C. Replace the surgical dressing D. Notify the healthcare provider

Correct Answer is D

Explanation

Choice A rationale
Administering a 500 mL lactated Ringer’s IV bolus is not the first action to take when a nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Choice B rationale
Documenting urinary output is important, but it is not the first action to take when a nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Choice C rationale

Replacing the surgical dressing is not the first action to take when a nurse notes a steady trickle of vaginal bleeding that does not stop with fundal massage.
Choice D rationale
Notifying the healthcare provider is the correct action. Persistent vaginal bleeding after a cesarean birth could indicate a postpartum hemorrhage, which is a medical emergency

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A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

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A nurse is caring for a client who is in the third stage of labor and has a prescription for IV oxytocin administration following expulsion of the placenta. What clinical manifestations should the nurse expect as a therapeutic effect of the medication?

Correct Answer is A

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Correct Answer is D

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A nurse is providing teaching about the expected effects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia.
Which of the following responses by the nurse is appropriate?