A Nurse is Preparing to Administer Magnesium Sulfate 0 5 G hr by Continuous Infusion
Mod 6 ATI Answers
QUESTION 1
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm
labor. Which of the following is the priority nursing assessment for this client?
ANSWERS - Multiple Choice
INCORRECT
1) Temperature
Answer Rationale:
Although the use of magnesium sulfate in a client experiencing preterm labor can result in
hypothermia, this assessment is not the nurse's priority assessment.
INCORRECT
2) Fetal heart rate (FHR)
Answer Rationale:
It is important to monitor the FHR of any client experiencing labor; however, this assessment is
not the nurse's priority assessment.
INCORRECT
3) Bowel sounds
Answer Rationale:
Although the use of magnesium sulfate in a client experiencing preterm labor can result in ileus,
this assessment is not the nurse's priority assessment.
4) Respiratory rate
Answer Rationale:
Magnesium sulfate is typically administered to a client in preterm labor to achieve the tocolytic
(uterine relaxation) effect. Magnesium sulfate depresses the function of the central nervous
system, causing respiratory depression. Baseline assessment of respiratory status, checking the
respiratory rate frequently, and reassessment of respiratory status with each change in dosage of
magnesium sulfate is the primary focus when assessing the client. There is a narrow margin
between what is considered a therapeutic dose and a toxic dose of magnesium sulfate.
QUESTION 2
A nurse is caring for a client who is at 40 weeks of gestation and is in labor. The client's
ultrasound examination indicates that the fetus is small for gestational age (SGA). Which of the
following interventions should be included in the newborn's plan of care?
ANSWERS - Multiple Choice
1) Observe for meconium in respiratory secretions.
Answer Rationale:
When a fetus is SGA, there is an increased risk for intrauterine hypoxia due to the presence of
meconium in the amniotic fluid. The nurse should observe for meconium in respiratory
secretions when suctioning the newborn at delivery. Newborns who are SGA are at risk for
perinatal asphyxia due to the stress of labor and are often depressed. They require careful
resuscitation and suctioning at delivery.
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Source: https://www.studocu.com/en-us/document/rasmussen-university/maternal-child-health-nursing/mod-6-ati-study/14495500
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