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A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
Which finding would the nurse interpret as indicating a therapeutic level of medication?
A) Urinary output of 20 mL per hourB) Respiratory rate of 10 breaths/minuteC) Deep
tendons reflexes 2+D) Difficulty in arousing
Ans: CWith magnesium sulfate, deep tendon reflexes of 2+ would be
considered normal and therefore a therapeutic level of the drug. Urinary
, output of less than 30 mL, a respiratory rate of less than 12 breaths/minute, and
a diminished level of consciousness would indicate magnesium toxicity.
A woman with severe preeclampsia is being treated with an IV infusion of magnesium
sulfate. This treatment is considered successful if:
A. Blood pressure is reduced to prepregnant baseline
B. Seizures do not occur
C. Deep tendon reflexes become hypotonic
D. Diuresis reduces fluid retention
Give this one a go later!
B. Seizures do not occur
Magnesium sulfate is a central nervous system (CNS) depressant given
primarily to prevent seizures.
Hypotonia is a sign of an excessive serum level of magnesium. It is critical that
calcium gluconate be on hand to counteract the depressant effects of
magnesium toxicity.
A 37 week pregnant patient is admitted with severe preeclampsia. The patient begins to
experiences a tonic-clonic seizure. Which of the following would the nurse AVOID during
the seizure?
A. Placing the patient in a supine position
B. Holding down the patient's head to prevent injury
C. Staying with the patient and activating the emergency response team
D. Timing the seizure
E. Providing 8 to 10 L of oxygen
, The answers are A and B. The nurse would want to place the patient on their
side (preferably the left-
side...not supine) to help prevent the tongue from obstructing the airway,
preventing aspiration, and
improving blood flow to the placenta. In addition, the nurse would NOT want
to restrain the patient,
which can cause injury. Option C, D, and E are steps the nurse would want to
take.
Predisposing Factors of Hypertensive disorders during pregancy
Nulliparity(never given birth)-
Multiple gestation-
Diabetes-
Age(< 18 or > 35)-
Chronic hypertension
A woman in the third trimester of pregnancy with a diagnosis of mild preeclampsia is
being monitored at home. The home care nurse teaches the woman about the signs that
need to be reported to the health care provider (HCP). The nurse should tell the woman
to call the HCP if which occurs?
1.)Urine test is negative for protein.
2.)Fetal movements are more than 4 per hour.
3.)Weight increases by more than 1 pound in a week.
4.)The blood pressure reading ranges between 122/80 mm Hg and 130/82 mm Hg.
Give this one a go later!
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.
Which finding would the nurse interpret as indicating a therapeutic level of medication?
A) Urinary output of 20 mL per hourB) Respiratory rate of 10 breaths/minuteC) Deep
tendons reflexes 2+D) Difficulty in arousing
Ans: CWith magnesium sulfate, deep tendon reflexes of 2+ would be
considered normal and therefore a therapeutic level of the drug. Urinary
, output of less than 30 mL, a respiratory rate of less than 12 breaths/minute, and
a diminished level of consciousness would indicate magnesium toxicity.
A woman with severe preeclampsia is being treated with an IV infusion of magnesium
sulfate. This treatment is considered successful if:
A. Blood pressure is reduced to prepregnant baseline
B. Seizures do not occur
C. Deep tendon reflexes become hypotonic
D. Diuresis reduces fluid retention
Give this one a go later!
B. Seizures do not occur
Magnesium sulfate is a central nervous system (CNS) depressant given
primarily to prevent seizures.
Hypotonia is a sign of an excessive serum level of magnesium. It is critical that
calcium gluconate be on hand to counteract the depressant effects of
magnesium toxicity.
A 37 week pregnant patient is admitted with severe preeclampsia. The patient begins to
experiences a tonic-clonic seizure. Which of the following would the nurse AVOID during
the seizure?
A. Placing the patient in a supine position
B. Holding down the patient's head to prevent injury
C. Staying with the patient and activating the emergency response team
D. Timing the seizure
E. Providing 8 to 10 L of oxygen
, The answers are A and B. The nurse would want to place the patient on their
side (preferably the left-
side...not supine) to help prevent the tongue from obstructing the airway,
preventing aspiration, and
improving blood flow to the placenta. In addition, the nurse would NOT want
to restrain the patient,
which can cause injury. Option C, D, and E are steps the nurse would want to
take.
Predisposing Factors of Hypertensive disorders during pregancy
Nulliparity(never given birth)-
Multiple gestation-
Diabetes-
Age(< 18 or > 35)-
Chronic hypertension
A woman in the third trimester of pregnancy with a diagnosis of mild preeclampsia is
being monitored at home. The home care nurse teaches the woman about the signs that
need to be reported to the health care provider (HCP). The nurse should tell the woman
to call the HCP if which occurs?
1.)Urine test is negative for protein.
2.)Fetal movements are more than 4 per hour.
3.)Weight increases by more than 1 pound in a week.
4.)The blood pressure reading ranges between 122/80 mm Hg and 130/82 mm Hg.
Give this one a go later!
