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Absent deep tendon reflexes are a sign of magnesium toxicity, which can occur with high levels of magnesium in the bloodstream. This can be a serious complication that requires immediate attention from the provider.

Out of the listed findings, the nurse should report c. Absent deep tendon reflexes to the provider immediately.

While the other findings may warrant monitoring or further assessment, they are not immediately concerning in this context:

• a. Decrease in frequency of contractions:This could be a normal response to magnesium sulfate, which is sometimes used to stop preterm labor. However, it's important to monitor the contractions to ensure they don't become too infrequent.
• b. BP 150/100 mm Hg:This is mildly elevated blood pressure, but not severe enough to require immediate intervention in this case. Monitoring blood pressure is still important, though.
• d. Urinary output 35 mL/hr:This is on the lower end of normal, but not concerning enough to require immediate action. Monitoring urine output is important to assess kidney function.

Absent deep tendon reflexes, however, is a sign of magnesium toxicity. Magnesium sulfate is a medication that needs to be closely monitored because high levels can be dangerous. If the nurse detects this finding, they should report it to the provider right away so that magnesium levels can be checked and appropriate action can be taken.

Here are some additional things to keep in mind:

• This is not an exhaustive list of all potential side effects of magnesium sulfate.
• It is important for the nurse to follow the provider's orders and protocols for monitoring clients receiving magnesium sulfate.
• If the nurse has any concerns about the client's condition, they should always err on the side of caution and report them to the provider.

Counterpressure is a technique that involves applying pressure to specific areas of the body during labor to help alleviate pain and discomfort. This technique is particularly helpful during the active phase of labor when contractions are strong and painful. The most common area to apply counterpressure is the lower back, as this is where many women experience the most intense pain during labor.

Magnesium sulfate is excreted through the kidneys, and decreased urine output (oliguria) can lead to magnesium toxicity. Monitoring urine output is crucial when administering magnesium sulfate, as low output indicates a need to reassess the dosage or discontinue the medication to prevent toxicity.

Constipation is a common postpartum issue due to decreased bowel motility, dehydration, and fear of pain during defecation. Suppositories are a common treatment option to help relieve constipation in postpartum clients. However, there are certain contraindications to the use of suppositories.

Option B, third-degree perineal laceration, is a contraindication to the use of a suppository. The suppository can cause further trauma to the already injured perineal area and delay the healing process. In this case, alternative treatment options, such as stool softeners or laxatives, should be considered.

Fundal height is measured from the top of the pubic bone to the top of the uterus and is used to assess fetal growth. A fundal height measurement that is larger than expected for gestational age may indicate a problem such as macrosomia (a larger than average baby), which can be a complication of gestational diabetes. The nurse should report this finding to the provider for further evaluation.

Meconium is the first stool passed by a newborn and its presence in the amniotic fluid during labor can indicate fetal distress. Meconium can also cause infection in the mother if it enters her bloodstream through the placenta or during delivery.

A common side effect of epidural anesthesia is a drop in blood pressure. Turning the client onto their side can help improve blood flow to the uterus and baby and may help raise the mother’s blood pressure.

A full bladder can help improve the quality of an abdominal ultrasound by pushing the intestines out of the way and providing a clearer view of the uterus and baby.

Hyperglycemia, or high blood sugar, can cause increased urination as the body tries to remove excess glucose from the blood. This can lead to dehydration and increased thirst.

In a nonstress test, irregular contractions of such short duration are abnormal as they suggest uterine irritability rather than productive contractions. This finding does not provide adequate reassurance of fetal well-being and could indicate the need for additional diagnostic testing, such as a biophysical profile or contraction stress test, to assess fetal health more accurately. Proper evaluation of the fetal heart rate and reaction to contractions is critical in determining fetal status and safety.