Magnesium Sulfate is being administered intravenously to a client for pregnancy-induced hypertension.
Which assessment finding should the nurse identify as a complication of this treatment?

Choice A rationale:
The child's fever in Kawasaki disease is typically unresponsive to antibiotics. The disease primarily affects blood vessels and can lead to the development of coronary artery aneurysms. Antibiotics are not the mainstay of treatment for Kawasaki disease.
Choice B rationale:
Kawasaki disease does not primarily involve the joints. It is a systemic vasculitis that affects medium-sized arteries throughout the body, including the coronary arteries. Joint involvement is not a characteristic feature of this condition.
Choice C rationale:
Aspirin is actually a crucial part of the treatment for Kawasaki disease. High-dose aspirin therapy (80-100 mg/kg/day) is administered until the child is afebrile, then the dose is reduced and continued for several weeks to prevent blood clots and inflammation in the coronary arteries.
Choice D rationale:
This is the correct answer. The therapeutic management of Kawasaki disease includes the administration of intravenous immunoglobulin (IVIG) and aspirin. IVIG helps reduce inflammation and prevent coronary artery abnormalities, while high-dose aspirin is used for its anti-inflammatory and antiplatelet effects. This combination of treatments has been shown to be effective in reducing the risk of coronary artery complications associated with Kawasaki disease.

The correct answer is choiceb. Fetal movement palpated by the nurse-midwife.

Choice A rationale:

A positive pregnancy test is considered a probable sign of pregnancy, not a positive sign. Probable signs are those that strongly suggest pregnancy but are not definitive.

Choice B rationale:

Fetal movement palpated by the nurse-midwife is a positive sign of pregnancy. Positive signs are those that provide definitive evidence of pregnancy, such as fetal heart tones heard by a Doppler device or ultrasound visualization of the fetus.

Choice C rationale:

Braxton Hicks contractions are considered a probable sign of pregnancy. These are irregular, painless contractions that can occur throughout pregnancy but do not confirm pregnancy definitively.

Choice D rationale:

Quickening, or the first feeling of fetal movement by the mother, is a presumptive sign of pregnancy. Presumptive signs are those that the woman experiences and reports, which may suggest pregnancy but are not conclusive.