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 A

Explanation

Gestational diabetes mellitus (GDM) is a condition in which a pregnant woman develops high blood sugar levels during pregnancy. Complications of GDM can include macrosomia (a larger-than-average baby), polyhydramnios (an excessive amount of amniotic fluid), and preterm labor. One of the ways to monitor for these complications is through regular fundal height measurements. A fundal height measurement that is significantly larger than expected can indicate macrosomia or polyhydramnios, which can lead to complications during delivery.

Option B is incorrect because a fasting blood glucose of 90 mg/dL is within the normal range for a non-pregnant individual, and it is lower than the target range for a pregnant woman with GDM.

Option C is also incorrect because a fetal movement count of 12 in 1 hour is within the normal range.

Option D is incorrect because non-pitting pedal edema is a common finding in pregnancy and is not typically a cause for concern.

A. Hypotonicity B. Decreased startle response C. High-pitched cry D. Increased head circumference

Correct Answer is C

Explanation

A newborn who was exposed to cocaine in utero may exhibit a high-pitched cry as a result of central nervous system irritability. Other possible findings may include hypertonicity, exaggerated startle response, and decreased head circumference. Hypotonicity is not a typical finding in a newborn exposed to cocaine in utero.

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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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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 32 weeks of gestation and has gestational diabetes mellitus. Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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