Diagnosis and tests
Diagnosis and tests ( 5 Questions)
A nurse is caring for a client with gestational hypertension who is at risk for preterm labor.
Which of the following medications should the nurse expect to be ordered?
Magnesium sulfate is used to prevent seizures in severe preeclampsia or eclampsia, not to prevent preterm labor. It can also cause adverse effects such as respiratory depression, hypotension, and decreased reflexes.
Oxytocin is used to induce or augment labor, not to prevent it. It can also cause adverse effects such as uterine hyperstimulation, fetal distress, and water intoxication
Nifedipine is a calcium channel blocker that can be used to treat gestational hypertension and prevent preterm labor by relaxing the smooth muscles of the uterus and blood vessels. It also lowers blood pressure and reduces the risk of preeclampsia.
Misoprostol is used to ripen the cervix and induce labor, not to prevent it. It can also cause adverse effects such as uterine rupture, diarrhea, and fever.
The correct answer is choice C. Nifedipine. Nifedipine is a calcium channel blocker that can be used to treat gestational hypertension and prevent preterm labor by relaxing the smooth muscles of the uterus and blood vessels. It also lowers blood pressure and reduces the risk of preeclampsia.
Choice A is wrong because magnesium sulfate is used to prevent seizures in severe preeclampsia or eclampsia, not to prevent preterm labor. It can also cause adverse effects such as respiratory depression, hypotension, and decreased reflexes.
Choice B is wrong because oxytocin is used to induce or augment labor, not to prevent it. It can also cause adverse effects such as uterine hyperstimulation, fetal distress, and water intoxication.
Choice D is wrong because misoprostol is used to ripen the cervix and induce labor, not to prevent it. It can also cause adverse effects such as uterine rupture, diarrhea, and fever.