A patient at 36 weeks’ gestation is reporting continuous, heavy vaginal discharge and pelvic pressure.
A patient at 36 weeks’ gestation is reporting continuous, heavy vaginal discharge and pelvic pressure. A nitrazine test confirms PROM with no sign of infection. After being admitted which intervention will the nurse most likely perform? A) Administer 48 hours of antibiotics IV followed by five days PO B) Perform daily pelvic examinations to monitor her progress C) Administer IM corticosteroids to promote fetal lung maturation D) Administer oxytocin to induce labor 7. The nurse is assisting with delivery of a pregnant patient who has been induced and is now in hypertonic labor. The fetal heart rate drops suddenly. What should the nurse prepare to do? A) Decrease oxytocin B) Increase oxytocin C) Administer a tocolytic D) Assist to perform McRoberts maneuver 8. A patient is admitted to labor and delivery for management of severe provelampsia. An IV infusion of magnesium sulfate is started. What is the primary goal for magnesium sulfate therapy? A) Decrease blood pressure B) Decrease protein in urine C) Prevent maternal seizures D) Reverse edema 9. The following hourly assessments are obtained by the nurse on a patient with preeclampsia receiving magnesium sulfate: 97.3. P88, R10, blood pressure 148/110. What other priority physical assessment by the nurse should be implemented to assess potential toxicity? A) Lung sounds B) Oxygen saturation C) Reflexes D) Magnesium sulfate level 10. A patient with preeclampsia is receiving magnesium sulfate. Which nursing asse should be ongoing while the medication is being administered? A) Urine protein B) Ability to sleep C) Hemoglobin D) Respiratory rate
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