Author Question: A newly delivered woman who was treated for preeclampsia during labor says to the nurse, Why are you ... (Read 52 times)

Hungry! · **on:** Jun 28, 2018

A newly delivered woman who was treated for preeclampsia during labor says to the nurse, Why are you still checking my blood pressure, reflexes, respirations, and urine so often? I thought delivery of my baby would take care of the problem.

The most appropriate response would be:
a. Since you are in the hospital with your baby, we will continue to monitor you since it's not hard to do.
b. You are still at risk for seizures for the first forty-eight hours after birth.
c. We can stop checking you so often if it's bothering you.
d. Don't you care about your health?

Question 2

A woman with severe gestational hypertension is receiving a continuous intravenous infusion of magnesium sulfate. Which assessment finding would indicate the need for further intervention?

a. Respiratory rate of 18/minute
b. Absent deep tendon reflexes
c. Urinary output of 60 mL/hour
d. Blood pressure of 132/84 mm Hg

Edwyer · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Because seizures may still occur with severe gestational hypertension for the first 48 hours postpartum, the same frequent and careful assessments are done.

Answer to Question 2

ANS: B
Absent deep tendon reflexes is a symptom of magnesium sulfate toxicity. The other findings are within normal limits. Symptoms of magnesium sulfate toxicity require immediate discontinuation of the drug and administration of the antidote. Respiratory ventilation support may be needed until the central nervous system depressant effects of the drug wear off.