A nurse is teaching a client who is at 25 weeks of gestation and has pre-term labor about the purpose and side effects of magnesium sulfate therapy.
Which of the following statements by the client indicates an understanding of the teaching?
“This medication will help prevent seizures in case I develop preeclampsia.”
“This medication will help mature my baby’s lungs in case he is born early.”
“This medication will help relax my uterus and stop contractions.”
“This medication will help lower my blood pressure in case it gets too high.”
The Correct Answer is C
This medication will help relax my uterus and stop contractions.
Magnesium sulfate is a tocolytic, a medication used to suppress uterine contractions and delay preterm delivery. The exact mechanism through which magnesium sulfate inhibits contractions is unknown, but researchers believe it likely works by lowering calcium levels in the uterine muscles.
Choice A is wrong because magnesium sulfate is not used to prevent seizures in case of preeclampsia.
Preeclampsia is a condition characterized by high blood pressure and protein in the urine during pregnancy. Magnesium sulfate may be used to treat seizures if they occur with eclampsia, which is a severe complication of preeclampsia.
Choice B is wrong because magnesium sulfate does not help mature the baby’s lungs in case of preterm birth.
Magnesium sulfate may have some neuroprotective effects for the baby, but it does not affect lung development. Steroids are usually given to pregnant women at risk of preterm delivery to help accelerate fetal lung maturation.
Choice D is wrong because magnesium sulfate does not lower blood pressure in case it gets too high.
Magnesium sulfate may have some vasodilatory effects, but it is not used as an antihypertensive agent. Other medications, such as hydralazine or labetalol, are used to treat high blood pressure during pregnancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A white blood cell count of 12,000/mm3 indicates an infection that can trigger pre-term labor.The normal range for white blood cell count in pregnancy is 5.7-15.0×10 9 /L, which is equivalent to 5,700-15,000/mm3.
A count above this range suggests an inflammatory response to an infection.
Choice B is wrong because a hemoglobin level of 11 g/dL is within the normal range for pregnancy, which is 10-14 g/dL.
Choice C is wrong because a platelet count of 250,000/mm3 is within the normal range for pregnancy, which is 150,000-400,000/mm3.
Choice D is wrong because a blood glucose level of 90 mg/dL is within the normal range for pregnancy, which is 70-110 mg/dL.
Correct Answer is D
Explanation
Nifedipine is a calcium channel blocker that is used to relax uterine contractions and postpone preterm labor.However, it can also lower blood pressure and cause side effects such as headache, dizziness, flushing, and palpitations.Therefore, it should be avoided in clients who have cardiac disease or other conditions that affect the heart function.
Choice A is wrong because asthma is not a contraindication for nifedipine.Nifedipine does not affect the airways or cause bronchospasm.
Choice B is wrong because diabetes mellitus is not a contraindication for nifedipine.Nifedipine does not affect blood glucose levels or insulin secretion.
Choice C is wrong because hypertension is not a contraindication for nifedipine.In fact, nifedipine can be used to treat high blood pressure as well as preterm labor.However, blood pressure should be monitored closely during nifedipine therapy to avoid hypotension.
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