This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is in preterm labor, and the prescriber orders magnesium sulfate for its neuroprotective ... (Read 107 times)

Zulu123

  • Hero Member
  • *****
  • Posts: 525
on: Jul 23, 2018
A patient is in preterm labor, and the prescriber orders magnesium sulfate for its neuroprotective effect on the fetus.
 
  The order calls for 4 gm given as an intravenous bolus over 20 minutes, followed by a maintenance infusion of 2 gm/hr. What will the nurse do?
  a. Administer the drug as ordered.
  b. Question the bolus amount.
  c. Question the bolus rate.
  d. Question the maintenance amount.

Question 2

A patient is admitted to the obstetric unit in preterm labor at 36 weeks' gestation. The prescriber orders a tocolytic agent. When teaching the patient about this medication, the nurse will tell her that tocolytics:
 
  a. are given until term to reduce fetal mortality.
  b. are used to help the fetal lungs mature.
  c. help delay delivery while glucocorticoids are given.
  d. help treat the infections that cause preterm labor.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Ptupou85

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
For fetal neuroprotective uses, magnesium sulfate should be given using a low-dose protocol, which is a 4-gm IV loading bolus over 20 minutes, followed by a maintenance infusion of 1 gm/hr. A high-dose protocol would have a maintenance infusion of 2 to 3 gm/hr. The nurse should question the maintenance amount. The bolus amount and rate are correct.

Answer to Question 2

ANS: C
Tocolytic agents are used to postpone premature labor and, on average, for only 48 hours. During this time, glucocorticoids are given to help the fetal lungs mature. Tocolytic agents do not suppress labor long term. They do not directly help the fetal lungs to mature; they help by allowing time for glucocorticoids to be given. They do not treat infection.


Zulu123

  • Member
  • Posts: 525
Reply 2 on: Jul 23, 2018
Gracias!

bigcheese9

  • Member
  • Posts: 333
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

Did you know?

On average, someone in the United States has a stroke about every 40 seconds. This is about 795,000 people per year.

Emphysema. (a) Illustration comparing normal lungs and emphysemic lungs. The inserts illustrate how Emphysema. (a) Illustration comparing normal lungs and emphysemic lungs. The inserts illustrate how
Building competency in patient centered care Building competency in patient centered care
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 2)
Round your answer to the nearest tenth. A patient with a pulmonary embolus has Refludan ... Round your answer to the nearest tenth. A patient with a pulmonary embolus has Refludan ...
The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ... The physician orders pemetrexed (Alimta) 500 mg/m2. The client’s body surface area is 2.14 ...
Video: Ionic bonds - role of ions in the body

For a complete list of videos, visit our video library