Post-Administration Monitoring for Magnesium Sulfate

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What should the nurse monitor after administering magnesium sulfate to a pregnant patient?

Respiratory rate and deep tendon reflexes (correct)

Urine output and glucose levels

Temperature and pulse rate

Blood pressure and fetal heart rate

What condition is characterized by seizures not caused by a cerebral disorder during pregnancy-induced hypertension?

Eclampsia (correct)

HELLP syndrome

Preeclampsia

Gestational diabetes

What action should a patient take if they miss two consecutive menstrual periods while on oral contraceptives?

Call the doctor for a prescription refill

Continue taking the contraceptives as scheduled

Increase the dosage of contraceptive pills

Discontinue the contraceptive and take a pregnancy test (correct)

What is a late symptom in a patient with preeclampsia that requires immediate medical intervention?

Epigastric pain Signup and view all the answers

What should a patient do if they miss two doses of their oral contraceptive?

Double the dose for 2 days and use an additional birth control method for 1 week Signup and view all the answers

What is the correct position to relieve supine hypotension during labor?

Patient turned on her left side Signup and view all the answers

During which phase of labor is the cervix dilated between 8 to 10 cm?

Transition phase Signup and view all the answers

What marks the beginning of the second stage of labor?

Full cervical dilation Signup and view all the answers

What is the correct definition of 'engagement' in the context of fetal descent?

Presenting part is engaged in the pelvic inlet Signup and view all the answers

What does a fetal station of 0 indicate?

The presenting part is at the pelvic inlet Signup and view all the answers

What is the primary reason to consider any vaginal bleeding during pregnancy a complication?

It may signify a placental problem Signup and view all the answers

What is the main purpose of the fourth stage of labor?

To stabilize the mother’s physical and emotional state Signup and view all the answers

What should be done if the umbilical cord cannot be loosened from around the neonate’s neck at delivery?

Cut the cord between two clamps Signup and view all the answers

What is the normal length of the uterus at term?

12.5 inches (32 cm) Signup and view all the answers

What must occur before internal fetal monitoring can be initiated?

The amniotic membranes must be ruptured. Signup and view all the answers

How is the intensity of a labor contraction assessed?

By examining the indentability of the uterine wall. Signup and view all the answers

What is the resting phase between contractions during labor?

At least 30 seconds Signup and view all the answers

What characterizes a reactive nonstress test?

Two or more fetal heart rate accelerations of 15 beats/minute in 20 minutes Signup and view all the answers

What type of placenta previa covers the cervical os completely?

Complete placenta previa Signup and view all the answers

Which phase is NOT part of a uterine contraction?

Latent Signup and view all the answers

What is the priority for the care of a neonate during an extramural delivery?

Maintaining a patent airway Signup and view all the answers

What is defined as engagement in the context of labor?

The largest diameter of the presenting part passing through the pelvic inlet. Signup and view all the answers

When should the administration of oxytocin be stopped?

When contractions last for 90 seconds or longer Signup and view all the answers

Which symptom is typically associated with abruptio placentae?

Severe abdominal pain Signup and view all the answers

What type of discharge occurs 4 to 7 days after childbirth?

Lochia serosa Signup and view all the answers

Which nursing intervention is appropriate for a patient with placenta previa?

Positioning the patient on her left side Signup and view all the answers

What is a consequence often seen in teenage mothers regarding neonate weight?

Their neonates are more likely to have low birth weights. Signup and view all the answers

What is the risk for a multiparous woman immediately after delivery compared to a primiparous woman?

Higher susceptibility to bleeding Signup and view all the answers

How is preeclampsia defined concerning blood pressure?

Blood pressure of 140/95 mmHg on two occasions 6 hours apart Signup and view all the answers

What is a significant outcome of interrupted blood flow to the placenta?

Increased fetal partial pressure of arterial carbon dioxide Signup and view all the answers

What should be monitored closely if a pregnant patient receives a spinal block before delivery?

Patient's blood pressure Signup and view all the answers

What should the nurse suggest to a postpartum patient experiencing gas pain and flatulence?

Ambulation Signup and view all the answers

What is the primary purpose of administering oxytocin (Pitocin) after the delivery of the placenta?

To promote uterine involution Signup and view all the answers

Which of these is not a classic symptom of preeclampsia?

Painless bleeding Signup and view all the answers

What differentiates abruptio placentae from placenta previa?

Presence of pain Signup and view all the answers

What condition is Methylergonovine (Methergine) used to prevent?

Postpartum hemorrhage from uterine atony Signup and view all the answers

Which statement accurately reflects the FDA drug categorization system for pregnancy?

Category C drugs may be beneficial despite potential risks. Signup and view all the answers

What does a positive acetone result in a pregnant patient typically indicate?

Inadequate caloric intake Signup and view all the answers

What is the initial nursing action after the amniotic membranes rupture?

Assess the fetal heart rate Signup and view all the answers

Which of the following is a common reason for cesarean birth?

Malpresentation of the fetus Signup and view all the answers

What complication might arise after an amniocentesis?

Spontaneous abortion Signup and view all the answers

What is crowning during labor?

Head of the fetus appears at the vulvovaginal ring Signup and view all the answers

What is a potential consequence of a distended bladder after delivery?

Subinvolution of the uterus Signup and view all the answers

What is a potential risk of not administering Rho(D) immune globulin (RhoGAM) to an Rh-negative primigravida after delivery of an Rh-positive neonate?

Fetal anomalies in future pregnancies Signup and view all the answers

Study Notes

Labor and Delivery

During labor, to alleviate supine hypotension (nausea, vomiting, paleness), position the patient on her left side.
The transition phase of the first stage of labor involves cervical dilation of 8-10 cm and contractions occurring every 2-3 minutes, lasting 60 seconds.
The first stage of labor begins with the onset of labor and ends with 10 cm cervical dilation.
The second stage starts with full cervical dilation and ends with the newborn's birth.
The third stage begins after birth and ends with placenta expulsion.
The fourth stage (postpartum stabilization) lasts up to 4 hours after placenta delivery. This time is crucial for the mother's physical and emotional recovery from childbirth.
True labor is characterized by regular rhythmic contractions, abdominal discomfort, progressive fetal descent, bloody show, and cervical effacement and dilation. False labor is not associated with these characteristics.
"Floating" means that the presenting part of the fetus is not engaged in the pelvic inlet and is freely movable above it.
"Engagement" signifies that the largest diameter of the presenting part has passed through the pelvic inlet.
Fetal stations describe the presenting part's location relative to the ischial spine: -1, -2, -3, -4, or -5 are above the ischial spine; +1, +2, +3, +4, or +5 are below; 0 is at the level of the ischial spine.
Station -5 is at the pelvic inlet.
Any vaginal bleeding during pregnancy should be considered a complication until determined otherwise.
During delivery, if the umbilical cord is entangled around the neonate's neck, it must be clamped with two clamps and cut between them.
Side-lying is often the most comfortable position during the first stage of labor.
Amniotomy is the artificial rupture of the amniotic membranes.
Uterine contractions have three phases: increment, acme, and decrement.
Contraction intensity can be graded as mild (slightly tense), moderate (moderately tense), or strong (board-like).
Contraction frequency is measured in minutes, starting from the beginning of one contraction to the start of the next.

Fetal Monitoring and Other Considerations

Fetal monitoring assesses fetal well-being during labor.
If fetal distress is suspected, fetal blood pH may be evaluated through a scalp sample.
Massaging the uterus aids placental delivery and uterine contraction stimulation.
Checking fetal heart tones is often the nurse's first action when admitting a patient in active labor.
Nitrazine paper is used to detect amniotic fluid.
A pregnant patient typically gains 2-5 pounds in the first trimester and slightly less (0.5 kg per week) in the subsequent trimesters.
A precipitate labor lasts approximately 3 hours and concludes with the neonate's delivery.
For excessive uterine bleeding, 0.2 mg of methylergonovine (Methergine) is administered intravenously (IV) over 1 minute, while the patient's blood pressure and uterine contractions are monitored.
Braxton Hicks contractions are felt in the abdomen and do not lead to cervical changes.
True labor contractions are in the abdomen and back and result in cervical dilation and effacement.
Fetal hypoxia is indicated by late decelerations; the nurse must position the patient on her left side, administer supplemental oxygen, and notify the physician.
Oxytocin (Pitocin) stimulates powerful uterine contractions and needs close monitoring to prevent maternal/fetal distress.
Molding refers to how the fetal head changes shape to facilitate passage through the birth canal.
If a woman experiences sudden hypotension during labor, increase the IV fluid rate as prescribed.
Early decelerations during fetal monitoring are a sign of head compression during labor.
Postpartum, oxytocin (Pitocin) can be added to the IV solution to promote uterine involution and lactation if necessary. Cervical suturing is typically performed between weeks 14 and 18 of gestation to reinforce an incompetent cervix.

Additional Considerations

Teenage mothers are more likely to have low-birth-weight newborns due to late prenatal care and nutritional deficiencies.
The anteroposterior (diagonal conjugate) is the narrowest diameter of the pelvic inlet.
Labor contractions typically have at least 30 seconds of resting phase in between.
The uterus increases in length from 6.3 cm before pregnancy to 32 cm at term.
The true conjugate (smallest inlet measurement) is estimated by subtracting 1.5 cm from the diagonal conjugate (typically 12 cm).
The intertuberous diameter is the smallest outlet measurement in the pelvis.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz focuses on the critical monitoring tasks that nurses must perform after administering magnesium sulfate to pregnant patients. Ensure you are familiar with the signs and symptoms to observe, as well as potential side effects and complications.