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 87 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
Wow, this really help

Chelseyj.hasty

  • Member
  • Posts: 319
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Physical therapist assisting a patient to walk in the parallel bars. Physical therapist assisting a patient to walk in the parallel bars.
Nurse palpating the patient's brachial artery Nurse palpating the patient's brachial artery
Positioning the Patient in the Prone Position Positioning the Patient in the Prone Position
Apply direct pressure to the patient’s wound. Apply direct pressure to the patient’s wound.
Gingival enlargement in a patient taking phenytoin. Gingival enlargement in a patient taking phenytoin.
Video: Requirements for nervous signals

For a complete list of videos, visit our video library