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 prevents seizures."

"This medication increases cardiac output."

This medication improves tissue perfusion."

Answer and Explanation

The Correct Answer is B

Magnesium sulfate is used to prevent seizures in clients with preeclampsia. It works by relaxing the smooth muscles and blocking neuromuscular transmission. While magnesium sulfate can indirectly improve fetal heart rate and tissue perfusion by preventing seizures, it does not directly stabilize the fetal heart rate or increase cardiac output.

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Correct Answer is B

Explanation

Constipation is a common problem for clients who have recently given birth, and suppositories are a common treatment option for constipation. However, suppositories are not appropriate for all clients. Certain conditions can be a contraindication to the use of suppositories, and the nurse should be aware of these conditions.

The nurse should identify that a third-degree perineal laceration is a contraindication to the use of a suppository, as it may cause further trauma to the already injured area. In this case, alternative treatments such as stool softeners or oral laxatives may be more appropriate for the client.

Option A is incorrect because although abdominal distention can be a sign of constipation, it is not a contraindication to the use of a suppository.

Option C is also incorrect because vaginal candidiasis is not a contraindication to the use of a suppository. In fact, suppositories are sometimes used to treat vaginal candidiasis.

Option D is also incorrect because afterpains are not a contraindication to the use of a suppository.

A. "Transmission can occur via the saliva and urine of the newborn." B. "This infection requires that airborne precautions be initiated for the newborn." C. "Mothers will receive prophylactic treatment with acyclovir prior to delivery." D. “Lesions are visible on the mother's genitalia."

Correct Answer is A

Explanation

Cytomegalovirus (CMV) is a common viral infection that can be transmitted from mother to newborn during childbirth. It can also be transmitted through contact with infected bodily fluids, including saliva, urine, and breast milk. Therefore, it is important to practice good hand hygiene and avoid sharing utensils or cups with young children who may be infected. Airborne precautions are not required for CMV, as it is not transmitted through the air. Prophylactic treatment with acyclovir is not effective against CMV, and there is no cure for the infection. Lesions are not typically visible on the mother's genitalia, and many mothers who are infected with CMV have no symptoms at all.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the chart of a client who is 2 days postpartum following a vaginal delivery and reports constipation. Which of the following findings should the nurse identify as a contraindication to the use of a suppository?

Correct Answer is B

Explanation

The nurse manager on the labor and delivery unit is teaching a group of newly licensed nurses about maternal cytomegalovirus. Which of the following information should the nurse manager include in the teaching?

Correct Answer is A

Explanation

A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?

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