After delivery, a patient is diagnosed with placenta ...

[123654777]

After delivery, a patient is diagnosed with placenta succenturiata. For what procedure should the nurse prepare this patient?
 
  A) Lavage of the uterus
  B) Repair of an episiotomy
  C) Manual removal of accessory lobes
  D) Emergency resuscitation of the newborn

Question 2

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 hour
  B) Respiratory rate of 10 breaths/minute
  C) Deep tendons reflexes 2+
  D) Difficulty in arousing

[Smiles0805]

Answer to Question 1

C
Feedback:
A placenta succenturiata is a placenta that has one or more accessory lobes connected to the main placenta by blood vessels. This disorder needs to be recognized because the small lobes may be retained in the uterus after birth, leading to severe maternal hemorrhage. Once the remaining lobes are recognized and removed from the uterus manually, the uterus will contract with no adverse maternal effects. Uterine lavage is not a treatment for this disorder. This disorder is not specifically associated with an episiotomy. No fetal abnormality is associated with this disorder.

Answer to Question 2

C
Feedback:
With 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.