A client at 35 weeks' gestation is having contractions caused by ...

[ap345]

A client at 35 weeks' gestation is having contractions caused by preterm labor. Which statement by the nurse best describes the rationale for giving this client magnesium sulfate?
 
  1. Magnesium sulfate will cause your baby to gain weight quickly so he will be more developed when he is born.
  2. Magnesium sulfate is used to decrease your stress level. This will cause your contractions to stop.
  3. Magnesium sulfate relaxes the uterus and slows contractions. This gives the baby's lungs a few more days to develop.
  4. Magnesium sulfate will allow you to be monitored from home.

Question 2

Which client should not receive progestin therapy for the treatment of dysfunctional uterine bleeding?
 
  1. The client with a history of asthma
  2. The client with a history of a blood clot
  3. The client with a history of glaucoma
  4. The client with a history of hepatitis

[lou]

Answer to Question 1

Correct Answer: 3
Rationale 1: Magnesium sulfate does not affect the weight of the baby.
Rationale 2: Magnesium sulfate does not decrease a client's stress level.
Rationale 3: Magnesium sulfate is used to decrease uterine contractions and give the fetus a few days for increased lung development.
Rationale 4: A client receiving magnesium sulfate must be monitored continually.
Global Rationale: Magnesium sulfate is used to decrease uterine contractions and give the fetus a few days for increased lung development. It does not affect the weight of the baby or decrease the client's stress level. A client receiving magnesium sulfate must be monitored continually.

Answer to Question 2

Correct Answer: 2
Rationale 1: Progestin therapy is not contraindicated in the client with asthma.
Rationale 2: Progestins are contraindicated in clients who have had thromboembolic disease.
Rationale 3: Progestin therapy is not contraindicated in the client with glaucoma.
Rationale 4: Progestin therapy is not contraindicated in the client with a history of hepatitis.
Global Rationale: Progestins are contraindicated in clients who have had thromboembolic disease. They are not contraindicated for those with asthma, glaucoma, or history of hepatitis.

[ap345]

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[lou]

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