Magnesium sulfate is given to a pregnant client for which of the following reasons? (Select all that apply) Provide fetal neuroprotection Improve patellar reflexes and increase respiratory efficiency Induction of labor Prevent seizures Stop/decrease uterine contractions The clinical nurse talks with a client about her possible pregnancy. The client has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. What are these symptoms best described as? Possible signs of pregnancy Positive signs pregnancy Presumptive signs of pregnancy Probable signs of pregnancy The clinic nurse talks with a patient about her possible pregnancy. The patient has experienced amenorrhea for 2 months, nausea during the day with vomiting every other morning, and breast tenderness. She is convinced she is pregnant and is reluctant to pay for a pregnancy test. Which action by the nurse is best?

Correct Answer: C

Rationale: The best action for the nurse to take in this situation is to explain to the patient that these symptoms can be caused by other conditions besides pregnancy. It is important for the nurse to educate the patient that while these symptoms are commonly associated with pregnancy, they are not definitive signs and can also be attributed to other factors or medical conditions. Encouraging the patient to undergo a pregnancy test can help confirm or rule out pregnancy and provide appropriate care and guidance moving forward.

Correct Answer: B

Rationale: The sudden urge to push along with the advanced cervical dilation, effacement, and station indicates that the client is likely in the second stage of labor, which is the stage of active pushing. When a woman feels the urge to push, it is essential to assess for the crowning of the fetal head at the perineum as this indicates that the baby is descending and will soon be born. This assessment helps the nurse determine the appropriate actions to take next in assisting the delivery process. Waiting for signs of crowning before guiding the client to push can prevent potential complications related to a rapid birth and help facilitate a more controlled delivery process.

Correct Answer: A

Rationale: Swaddling newborn infants in a warm blanket is important to prevent heat loss (hypothermia) because when babies become chilled, they must produce more heat to maintain a normal body temperature. This increased heat production leads to higher oxygen needs, which can be detrimental to newborns who may already have limited reserves. Therefore, keeping newborn infants swaddled in a warm blanket helps to maintain their body temperature within a normal range and prevents unnecessary stress on their bodies.

Correct Answer: B

Rationale: Infants of diabetic mothers are at increased risk for developing respiratory distress syndrome due to factors such as prematurity, intrauterine stress, and macrosomia (large birth weight). Additionally, babies born to mothers with diabetes may have delayed lung maturation, resulting in decreased surfactant production and increased risk of respiratory complications. Therefore, it is crucial for the nurse to monitor the infant for signs of respiratory distress, such as tachypnea, grunting, retractions, and cyanosis, and provide necessary interventions promptly.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.