Chapter 10: Complications Of Pregnancyfoundations Of Maternal-Newborn & Women's Health Nursing, 7th Edition Study Guide Rated A+

1. The nurse is monitoring a patient with severe preeclampsia who is on IV magnesium sulfate. Which signs of magnesium toxicity should the nurse monitor for? (Select all that apply.) a. Cool, clammy skin b. Altered sensorium c. Pulse oximeter reading of 95% d. Respiratory rate of less than 12 breaths per minute e. Absence of deep tendon reflexes {Ans: ANS: B, D, E Signs of magnesium toxicity include the following: Respiratory rate of less than 12 breaths per minute (hospitals may specify a rate <14 breaths per minute) Maternal pulse oximeter reading lower than 95% Absence of deep tendon reflexes Sweating, flushing Altered sensorium (confused, lethargic, slurred speech, drowsy, disoriented) Hypotension Serum magnesium value above the therapeutic range of 4 to 8 mg/dL Cold, clammy skin and a pulse oximeter reading of 95% would not be signs of toxicity. DIF: Cognitive Level: Analysis OBJ: Nursing Process Step: Evaluation MSC: Patient Needs: Physiologic Integrity}3. The clinic nurse is performing a prenatal assessment on a pregnant patient at risk for preeclampsia. Which clinical sign would not present as a symptom of preeclampsia? a. Edema b. Proteinuria c. Glucosuria d. Hypertension {Ans: ANS: C Glucose into the urine is not