Saunders Pharm-Maternity/Newborn

A client with severe preeclampsia is receiving intravenous magnesium sulfate. The nurse is reviewing the laboratory results and determines that which magnesium level is within the therapeutic range?

5 mEq/L

methylergonovine is prescribed for a woman with postpartum hemorrhage caused by uterine atony. Before administering the medication, the nurse should check which most important client parameter?

BP

Rho(D) immune globulin is prescribed for a client after delivery, and the nurse provides information to the client about the purpose of the medication. The nurse determines that the woman understands the purpose if the woman states that it will protect her next baby from which condition?

Being affected by Rh incompatibility

The nurse in the postpartum unit notes that a new mother was given methylergonovine intramuscularly following delivery. What assessment finding indicates that the medication was effective?

Decreased uterine bleeding

A client in preterm labor is being started on intravenous magnesium sulfate to stop the contractions. Several hours later, when the nurse is performing an assessment, the following data are obtained: blood pressure, 110/66 mm Hg; pulse, 66 beats per minute; respirations, 10 breaths per minute; and deep tendon reflexes absent. What should the nurse do next?

Prepare to administer calcium gluconate as an antidote for magnesium toxicity

The nurse performs an assessment of a pregnant woman who is receiving intravenous magnesium sulfate for management of preeclampsia and notes that the woman's deep tendon reflexes are absent. On the basis of this finding, the nurse should make which interpretation?

The woman is experiencing magnesium excess.

A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate, and contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication?

betamethasone

The nurse gave an intramuscular dose of methylergonovine to a client following delivery of an infant. The nurse determines that this medication had the intended effect if which finding is noted?

improved uterine tone

A client experiencing preterm labor at the 29th week of gestation has been admitted to the hospital. The client has a prescription to receive betamethasone but delivers too quickly for medication administration. As a result of not receiving this medication, which condition is most likely to develop in the preterm newborn

resp depression

A pregnant woman of 30 weeks' gestation is admitted to the maternity unit in preterm labor. The woman asks the nurse about the purpose of betamethasone, which has been prescribed by the primary health care provider (PHCP). The nurse should tell the client that the medication will promote which action?

Enhance fetal lung maturity.

The nurse has a routine prescription to administer an injection of phytonadione (vitamin K) to the newborn. Which statement made by the new mother indicates that teaching on this medication was effective?

I know that this medication is used to prevent clotting abnormalities in the newborn.

The senior nursing student is assigned to care for a client with severe preeclampsia who is receiving an intravenous infusion of magnesium sulfate. The co-assigned registered nurse asks the student to describe the actions and effects of this medication. Which statement, if made by the student, indicates the need for further teaching?

It increases acetylcholine, blocking neuromuscular transmission.

Butorphanol tartrate is prescribed for a woman in labor, and the woman asks the nurse about the purpose of the medication. The nurse should make which appropriate response?

The medication provides pain relief during labor

Butorphanol tartrate by intravenous push is prescribed for a client in labor. The nurse recognizes which assessment findings to be side or adverse effects of this medication? Select all that apply. a) Tinnitus b) Syncope c) Bradycardia d) Palpitations e) Increased thirst f) Nausea and vomiting

a, b, d, f

the nurse is monitoring a client in preterm labor who is receiving intravenous magnesium sulfate. The nurse should monitor for which adverse effects of this medication? Select all that apply. a) Flushing b) Hypertension c) Increased urine output d) Depressed respirations e) Extreme muscle weakness f) Hyperactive deep tendon reflexes

a, d, e

A client diagnosed with severe preeclampsia is receiving magnesium sulfate by continuous intravenous infusion. Which assessment finding would indicate that the medication should be discontinued?

absence of DTRs

The client delivered a newborn baby 3 hours ago. The assigned nurse is reviewing the electronic health record to determine if the new mother is a candidate for Rh immune globulin administration. Which criteria must be present to determine that the client needs the medication? Select all that apply. a) The father must be Rh negative. b) The mother must be Rh negative. c) The newborn must be Rh positive. d) The indirect Coombs' test must be negative. e) The newborn must be a second or subsequent child delivered to this mother.

b, c, d

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which findings are noted on assessment? SATA a) Proteinuria of 3+ b) Urine output of 20 mL in an hour c) Presence of deep tendon reflexes d) Respirations of 10 breaths/minute e)Serum magnesium level of 4 mEq/L (2 mmol/L)

b, d

Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before administration of methylergonovine, what is the priority assessment?

blood pressure

the nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings should cause the nurse to immediately discontinue the oxytocin infusion? SATA a) Fatigue b) Drowsiness c) Uterine hyperstimulation d) Late decelerations of the fetal heart rate e) Early decelerations of the fetal heart rate

c, d

A client with preeclampsia is receiving magnesium sulfate. The nurse should assess the client closely for which sign of magnesium toxicity?

resp rate of 10/min

A woman with preeclampsia is receiving magnesium sulfate. Which indicates to the nurse that the magnesium sulfate therapy is effective?

seizures do not occur

A pregnant client is receiving oxytocin for the induction of labor. The nurse should immediately discontinue the oxytocin infusion if which is noted in the client?

uterine hyperstimulation