Which assessment in a client diagnosed with pregnancy-induced ...

[kamilo84]

Which assessment in a client diagnosed with pregnancy-induced hypertension who is taking magnesium sulfate would indicate a therapeutic level of medication?
 
  a. Urinary output of 20 ml/hr
  b. Normal deep tendon reflexes
  c. Respiratory rate of 10 to 12 breaths/minute
  d. Drowsiness

Question 2

The greatest risk to the newborn after an elective cesarean birth is:
 
  a. trauma due to manipulation during delivery.
  b. tachypnea due to maternal anesthesia.
  c. prematurity due to miscalculation of gestation.
  d. tachycardia due to maternal narcotics.

[Liddy]

Answer to Question 1

B
Magnesium sulfate is administered for pregnancy-induced hypertension to reduce the risk of seizures from cerebral irritability. Hyperreflexia (deep tendon reflexes above normal) is a symptom of cerebral irritability. If dosage of magnesium sulfate is effective, reflexes should decrease to normal or slightly below normal levels.
A urinary output of 20 ml/hr is not adequate output.
A respiratory rate of 10 to 12 breaths/minute is too slow and could be indicative of magne-sium toxicity.
Drowsiness is another sign of CNS depression from magnesium toxicity.

Answer to Question 2

C
Regardless of the many criteria used to determine gestational age, inadvertent preterm birth still occurs.