RN 23 Ch27 EAQ

A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, painful abdomen. The nurse suspects the onset of what?

Abruptio placentae

The nurse is caring for a postpartum client with preeclampsia. What teaching does the nurse give the client before discharge from the hospital?

"Return to the hospital if you have epigastric pain."

The nurse observes that intravenous (IV) administration of magnesium sulfate has resulted in magnesium toxicity in a pregnant client with preeclampsia. The nurse immediately discontinues the infusion and reports to the primary health care provider (PHP). For which drug does the nurse obtain a prescription from the PHP?

Calcium gluconate

A woman with severe preeclampsia is being treated with an intravenous infusion of magnesium sulfate. When is this treatment considered successful?

If seizures do not occur.

What are the manifestations of HELLP syndrome? Select all that apply.

-Hemolysis -Low platelet count -Elevated liver enzymes

A woman with severe preeclampsia is receiving a magnesium sulfate infusion. The nurse becomes concerned after assessment when the woman exhibits what?

A respiratory rate of 10 breaths/min.

A client with severe gestational hypertension is prescribed hydralazine (Apresoline). What is a priority nursing intervention in this case?

Assess blood pressure frequently.

A pregnant client at 30 weeks of gestation has preterm labor. The nurse understands that the preterm baby may be born with immature lungs. What medication would be administered to help in lung maturation?

Betamethasone (Celestone

The nurse is caring for a hypertensive pregnant client who is on magnesium sulfate therapy. The nurse finds that the client has drowsiness, slurred speech, and depressed respiration. What medication would help in treating magnesium toxicity?

Intravenous calcium gluconate (Kalcinate)

Nurses should be aware that what is associated with HELLP syndrome?

Is characterized by hemolysis, elevated liver enzymes, and low platelets

The nurse is preparing to administer intravenous magnesium sulfate to a client with preeclampsia. Meanwhile, the student nurse positions the client in a supine position, monitors the fetal heart rate (FHR), checks for baseline variability, and monitors for the absence of late decelerations. Which action by the student nurse needs correction?

Placing the client in a supine position

A nurse is monitoring a client's reflexes (DTRs) while receiving magnesium sulfate therapy for treatment of preeclampsia. Which assessment finding indicates a cause for concern?

Positive clonus response elicited unilaterally

A pregnant client with gestational hypertension has very high blood pressure. The nurse learns that the gestational age of the fetus is 37 weeks. What is the best intervention to prevent complications in the client?

Prepare the client for induction of labor

The nurse is caring for a client with preeclampsia who is receiving an intravenous (IV) magnesium sulfate (Sulfamag) infusion. The nurse assesses the client every 20 minutes. Which maternal findings require immediate intervention by the nurse?

Respiratory rate of 9 breaths/minute

Which condition in a pregnant client with severe preeclampsia is an indication for administering magnesium sulfate?

Seizure activity