When administering magnesium sulfate, for what should the nurse assess the patient?

Correct Answer: B

Rationale: In the context of administering magnesium sulfate, it is crucial for the nurse to assess the patient for respiratory depression. Magnesium sulfate is a central nervous system depressant and can lead to respiratory depression as a side effect. Monitoring the patient's respiratory rate and depth is essential to detect any signs of respiratory distress promptly. Regarding the other options: A) Dry, pale skin: This is not a typical assessment finding associated with magnesium sulfate administration. Dry, pale skin may indicate other issues such as dehydration or poor perfusion. C) Agitation: Agitation is not a common side effect of magnesium sulfate. Instead, magnesium sulfate is known to have a calming effect on the central nervous system. D) Tachycardia: While magnesium sulfate can affect heart rate, it is more likely to cause bradycardia rather than tachycardia. Therefore, tachycardia would not be the primary assessment focus when administering magnesium sulfate. From an educational perspective, understanding the potential side effects and assessments related to medications like magnesium sulfate is crucial for nurses to ensure patient safety and optimal outcomes. Proper assessment skills and knowledge of medication effects are essential components of nursing practice to provide high-quality care to patients.

Correct Answer: D

Rationale: In the scenario presented, the correct answer is D) Dinoprostone (Cervidil). This medication is administered to promote cervical ripening in a woman at 42 weeks of gestation. Dinoprostone is a prostaglandin E2 analog that helps soften and dilate the cervix, preparing it for labor induction. Option A) Calcium gluconate is a mineral supplement and has no role in cervical ripening. Option B) Magnesium sulfate is commonly used to prevent seizures in preeclampsia and eclampsia, not for cervical ripening. Option C) Terbutaline is a tocolytic agent used to stop preterm labor, not for cervical ripening. In an educational context, understanding the appropriate medications for different stages of pregnancy is crucial for healthcare providers involved in obstetric care. Knowledge of medications like Dinoprostone and their specific uses in promoting safe labor induction can help prevent complications and ensure optimal outcomes for both the mother and the baby.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Four hours must elapse after the last dose of misoprostol. This is crucial because misoprostol can cause uterine hyperstimulation, which may lead to fetal distress. By waiting for four hours after the last dose, the risk of excessive uterine contractions is minimized before starting oxytocin to induce labor. Option B) The woman must have a type and cross-match performed is incorrect because this is not a necessary step before administering oxytocin for labor induction. Type and cross-match are typically done for blood transfusions to ensure compatibility, not for initiating oxytocin. Option C) The woman must receive a bolus of 500-mL normal saline is incorrect as well. While hydration is important during labor, it is not a prerequisite for switching from misoprostol to oxytocin. Option D) The woman must have her electrolytes measured is also incorrect in this context. Monitoring electrolytes is important in labor, especially with oxytocin use, but it is not a prerequisite before switching medications in this situation. Educationally, understanding the pharmacology and potential side effects of medications used in labor induction is crucial for healthcare providers to ensure safe and effective care for both the mother and the baby. Proper sequencing of interventions is essential to prevent complications and promote positive outcomes in obstetric care.

Correct Answer: C

Rationale: Ovulation occurs 5 to 10 days after the course of clomiphene treatment has been completed. Prior to beginning the drug regimen, the nurse instructs the woman about taking her basal temperature 5 to 10 days following administration. An incremental rise in temperature is an indication of ovulation. There is no specific contraindication against alcohol, and neurological adverse effects are not expected.

Correct Answer: D

Rationale: The correct answer is D) Most medications are contraindicated while a woman is breast-feeding because it is essential to consider the impact of medications on the nursing infant. While some medications are safe to use during breastfeeding, many can pass into breast milk and potentially harm the baby. Therefore, it is crucial for breastfeeding mothers to consult with healthcare providers before taking any medications to ensure the safety of their infants. Option A is incorrect because while few medications are explicitly contraindicated, many do carry risks and need to be carefully evaluated before use during breastfeeding. Option B is incorrect as herbs can also have potential risks and interactions with breastfeeding. Option C is incorrect as resuming a prepregnancy medication regimen may not always be safe for the nursing baby without proper evaluation. In an educational context, understanding the principles of medication safety during breastfeeding is crucial for healthcare providers and new mothers. It highlights the importance of individualized assessment and guidance to ensure the well-being of both the mother and the infant. Healthcare professionals should provide evidence-based information to support informed decision-making regarding medication use while breastfeeding.