A patient diagnosed with preeclampsia is admitted to the hospital and prescribed magnesium sulfate therapy.
What is the purpose of administering magnesium sulfate to this patient?

To decrease her blood pressure.

To decrease her tidal volume.

To prevent her from becoming dehydrated.

To prevent her from having convulsions.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D: To prevent her from having convulsions. Magnesium sulfate is a mineral that reduces seizure risks in women with preeclampsia, a condition of high blood pressure and protein in the urine during pregnancy. Magnesium sulfate can lower the cerebral perfusion pressure and prevent convulsions. However, magnesium sulfate does not affect the neonatal outcomes and can cause side effects such as respiratory depression.

Choice A is wrong because magnesium sulfate does not decrease blood pressure. It is used along with medications that help reduce blood pressure.

Choice B is wrong because magnesium sulfate does not decrease tidal volume. It can cause respiratory depression if the serum level is too high.

Choice C is wrong because magnesium sulfate does not prevent dehydration. It can cause fluid retention and pulmonary edema if given in excess.

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Correct Answer is A

Explanation

The correct answer is choice A. A 23-year-old primigravida with a history of endometriosis.Endometriosis is a condition where the tissue that normally lines the uterus grows outside of it, sometimes affecting the fallopian tubes.This can cause scarring and damage to the tubes, which can increase the risk of ectopic pregnancy.

Choice B is wrong because condyloma acuminata, also known as genital warts, are caused by human papillomavirus (HPV) infection.HPV infection does not directly increase the risk of ectopic pregnancy, although it may be associated with other sexually transmitted infections (STIs) that can cause pelvic inflammatory disease (PID), which is a risk factor.

Choice C is wrong because a bicornuate uterus is a congenital anomaly where the uterus has two horns or chambers instead of one.This does not affect the fallopian tubes or the implantation of the fertilized egg in the uterus.

Choice D is wrong because previous cesarean deliveries do not increase the risk of ectopic pregnancy.However, previous tubal surgery, such as tubal ligation or salpingectomy, can damage the fallopian tubes and increase the risk.

Other risk factors for ectopic pregnancy include previous ectopic pregnancy, smoking, age older than 35 years, history of infertility, and use of assisted reproductive technology.

A. “I’m planning to have an IUD inserted when I go for my six-week checkup.”. B. “Having an IUD in place may cause my periods to be heavier.”. C. “I will not be able to use an IUD as a birth control method if I have more than three full-term pregnancies.”. D. “The IUD works by causing an inflammatory response in my uterus, and that discourages a fertilized egg from becoming implanted.”.

Correct Answer is C

Explanation

The correct answer is choice C.Choice C is wrong because having more than three full-term pregnancies does not affect the suitability of using a copper IUD as a birth control method.Copper IUDs are long-term, reversible contraceptives that can be used by premenopausal women of all ages, including those who have never been pregnant or who have had multiple pregnancies.

Choice A is correct because a copper IUD can be inserted anytime during a normal menstrual cycle, or up to eight weeks after childbirth.

Choice B is correct because a copper IUD may cause heavier and longer periods, as well as more cramping.

Choice D is correct because a copper IUD works by creating an inflammatory response in the uterus that prevents sperm from reaching the egg and fertilizing it, and also prevents a fertilized egg from implanting in the uterine wall.

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A patient diagnosed with preeclampsia is admitted to the hospital and prescribed magnesium sulfate therapy. What is the purpose of administering magnesium sulfate to this patient?

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Naxlex Comprehensive Predictor Exams

The nurse at the antepartal clinic reviews four patients’ charts. Which patient is at increased risk for an ectopic pregnancy?

Correct Answer is A

Explanation

A nurse is providing information to a patient regarding contraception methods. Which statement by the patient indicates a need for further teaching regarding use of copper intrauterine device (IUD)?

Correct Answer is C

Explanation

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A patient diagnosed with preeclampsia is admitted to the hospital and prescribed magnesium sulfate therapy.
What is the purpose of administering magnesium sulfate to this patient?