Intrapartum Management

Intrapartum Management ( 5 Questions)

A nurse is teaching a client with pre-eclampsia about the signs and symptoms of magnesium toxicity.

Which of the following statements by the client indicates a need for further teaching?



Correct Answer: D

“I should not worry if I do not feel my baby move as much as before.” This statement indicates a need for further teaching because decreased fetal movement is a sign of fetal distress and should be reported to the nurse immediately.

Magnesium toxicity can affect the fetal central nervous system and cause hypotonia and reduced activity.

Choice A is wrong because difficulty breathing is a sign of magnesium toxicity and should be reported to the nurse.

Magnesium can depress the respiratory system and cause respiratory failure.

Choice B is wrong because warmth and flushing are common side effects of magnesium infusion and do not indicate toxicity.

They are caused by the vasodilatory effect of magnesium on the blood vessels.

Choice C is wrong because blurred vision and headache are signs of severe pre-eclampsia and should be reported to the nurse.

They indicate increased blood pressure and possible cerebral edema.




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