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 increases cardiac output
This medication stabilizes the fetal heart rate
The medication improves tissue perfusion
The medication prevents seizures
The Correct Answer is D
A. This medication increases cardiac output: Magnesium sulfate does not typically increase cardiac output. Its primary role in the context of preeclampsia is to prevent seizures and manage hypertension.
B. This medication stabilizes the fetal heart rate: While magnesium sulfate can have a relaxing effect on the uterus, which might indirectly influence fetal heart rate, its primary purpose in preeclampsia is seizure prevention rather than fetal heart rate stabilization.
C. The medication improves tissue perfusion: Magnesium sulfate primarily functions as an anticonvulsant and tocolytic (relaxes the uterus). While its effects on vasodilation can contribute to improved blood flow, the primary indication in preeclampsia is seizure prevention.
D. The medication prevents seizures
Magnesium sulfate is commonly used in the management of preeclampsia to prevent seizures (eclampsia), a serious complication of the condition. It has anticonvulsant properties and is the primary medication for seizure prophylaxis in pregnant individuals with preeclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Previous cervical cerclage
Cervical cerclage is a surgical procedure in which a stitch is placed in the cervix to reinforce it and reduce the risk of preterm birth. The fact that the client has had a previous cervical cerclage suggests a history of cervical insufficiency or a shortened cervix, which increases the risk of preterm delivery in subsequent pregnancies.
B. Previous delivery at 37 weeks gestation: A delivery at 37 weeks gestation is considered term. While it is on the earlier side of term, it does not inherently indicate an increased risk for preterm delivery.
C. Previous delivery of a newborn weighing 2.5 kg (5.5 lb): While low birth weight can be associated with preterm birth, the weight alone does not necessarily indicate a history of preterm delivery. Birth weight can be influenced by various factors.
D. Previous reactive non-stress test: A reactive non-stress test is a reassuring result, indicating that the fetus is responsive and generally doing well. It does not suggest a history or risk of preterm delivery.
Correct Answer is A
Explanation
A. "You can bathe and dress your baby if you'd like to": This statement acknowledges the client's autonomy and offers a sensitive and supportive approach. Allowing the client the option to participate in the care of the baby, such as bathing and dressing, respects the individual grieving process.
B. "I'm sure you will be able to have another baby when you’re ready": While the nurse may want to provide hope for the future, this statement might be perceived as minimizing the client's current grief and loss. It's essential to focus on the present and the client's emotions.
C. "You should name the baby so she can have an identity": Naming the baby is a personal choice, and the nurse should avoid directing the client on what they "should" do. Naming the baby can be a meaningful way for some parents to acknowledge the baby's existence and create memories.
D. "If you don’t hold the baby, it will make letting go much harder": Pressuring the client to hold the baby may not be appropriate, as individuals have different coping mechanisms. Some may find comfort in holding and spending time with the baby, while others may need more time before they are ready.
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