During pregnancy, poorly controlled asthma can place the fetus at ...

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During pregnancy, poorly controlled asthma can place the fetus at risk for:
 
  a. Hyperglycemiab. IUGRc. Hypoglycemiad. Macrosomia

Question 2

A client on 2 gm/hr of magnesium sulfate has decreased deep tendon reflexes. Identify the priority nursing assessment to ensure client safety.
 
  . Assess uterine contractions continuously.b. Assess fetal heart rate continuously.c. Assess urinary output.d. Assess respiratory rate.

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Answer to Question 1

ANS: b
Feedback
a. Maternal asthma does not place the fetus at risk for hyperglycemia.
b. Compromised pulmonary function can lead to decompensation and hypoxia that decrease oxygen flow to the fetus and can cause intrauterine growth restriction (IUGR).
c. Asthma does not directly affect glycemic control.
d. A fetus experiencing hypoxia would be small for gestational age, not large for gestational age.

Answer to Question 2

ANS: d
Feedback
a. Monitoring contractions does not indicate magnesium toxicity.
b. Magnesium sulfate will decrease fetal variability and not provide an accurate assessment of magnesium toxicity.
c. Urinary output does not correlate to decreased deep tendon reflexes.
d. Correct. Respiratory effort and deep tendon reflexes (DTRs) are involuntary, and a decrease in DTRs could indicate the risk of magnesium sulfate toxicity and the risk for decreased respiratory effort.

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