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Murray 7th Ed: Ch10 Complications of Pregnancy 2023/2024 already passed

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Murray 7th Ed: Ch10 Complications of Pregnancy1. A patient with preeclampsia is being treated with bed rest and intravenous magnesium sulfate. The drug classification of this medication is a a. diuretic. b. tocolytic. c. anticonvulsant. d. antihypertensive. - correct answer ANS: C Anticonvulsant drugs act by blocking neuromuscular transmission and depress the central nervous system to control seizure activity. Diuresis is a therapeutic response to magnesium sulfate. A tocolytic drug slows the frequency and intensity of uterine contractions but is not used for that purpose in this scenario. Decreased peripheral blood pressure is a therapeutic response (side effect) of the anticonvulsant magnesium sulfate. 2. Which clinical intervention is the only known cure for preeclampsia? a. Magnesium sulfate b. Delivery of the fetus c. Antihypertensive medications d. Administration of aspirin (ASA) every day of the pregnancy - correct answer ANS: B Delivery of the infant is the only known intervention to halt the progression of preeclampsia. Magnesium sulfate is one of the medications used to treat but not cure preeclampsia. Antihypertensive medications are used to lower the dangerously elevated blood pressures in preeclampsia and eclampsia. Low doses of aspirin (81 mg/day) have been administered to women at high risk for developing preeclampsia. This intervention appears to have little benefit. 3. The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for

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