The nurse is caring for a pregnant client at 28 weeks' gestation who presents to the emergency department with signs of preeclampsia. The primary healthcare provider (PHCP) orders magnesium sulfate. What potential complication should the nurse closely monitor for during magnesium sulfate administration?
The nurse is caring for a pregnant client at 28 weeks' gestation who presents to the emergency department with signs of preeclampsia. The primary healthcare provider (PHCP) orders magnesium sulfate. What potential complication should the nurse closely monitor for during magnesium sulfate administration?
A. Pulmonary edema
[11%]
B. Hyperglycemia
[9%]
C. Hyporeflexia
[73%]
D. Increased fetal movement
[7%]
Statistics
Subject/Lesson
Subject
Maternal & Newborn Health
Lesson
Antepartum
Client Need
Test Plan
Physiological Adaptation
Related Topic
Alterations in Body Systems
Item Type
Item Type
Application
Explanation
Choice C is correct. Magnesium sulfate is administered to prevent seizures in preeclampsia, but excessive levels can lead to hyporeflexia or areflexia, respiratory depression, and cardiac arrest.
Choice A is incorrect. Pulmonary edema is not a common complication of magnesium sulfate administration. The primary concerns relate to its effects on neuromuscular function and respiratory depression.
Choice B is incorrect. Magnesium sulfate is not typically associated with causing hyperglycemia. The primary concern during its administration is related to its potential effects on the respiratory system.
Choice D is incorrect. Magnesium sulfate administration is more likely to have a sedative effect, potentially reducing fetal movement rather than increasing it.
Related Videos
2 Key Topics
Preeclampsia
28.5 Infection & Complication Risks
Additional Info
✓ Preeclampsia is a pregnancy-related condition characterized by hypertension and damage to organs, typically the liver and kidneys. It usually develops after 20 weeks of pregnancy and can affect both the mother and the unborn baby. Preeclampsia is a serious condition that requires medical attention as it can lead to complications for both the mother and the baby if left untreated.
✓ The nurse should ensure continuous monitoring of the client's vital signs, especially respiratory rate and depth, heart rate, blood pressure, and reflexes. This monitoring helps detect early signs of respiratory depression or magnesium toxicity.
✓ If applicable, continuous fetal monitoring is crucial to assess the well-being of the fetus. Any signs of distress, such as a non-reassuring fetal heart rate pattern, should be reported promptly.
