Management Principles and Nursing Interventions
Management Principles and Nursing Interventions ( 8 Questions)
A nurse is caring for a client with mild pre-eclampsia who is at 32 weeks of gestation.
The nurse should anticipate administering which medication to the client?
Magnesium sulfate is used to prevent seizures in women with severe preeclampsia or eclampsia, not mild preeclampsia. Magnesium sulfate can also prolong pregnancy for up to two days, but it does not improve fetal outcomes.
This is because betamethasone is a corticosteroid that can help speed up the fetal lung development and reduce the risk of respiratory distress syndrome in preterm babies.
A client with mild pre-eclampsia who is at 32 weeks of gestation may need to deliver early if the condition worsens, so betamethasone can help prepare the baby for birth.
Oxytocin is a hormone that stimulates uterine contractions and induces labor. Oxytocin is not indicated for mild preeclampsia unless there are other reasons to deliver the baby urgently.
Misoprostol is a medication that can cause cervical ripening and uterine contractions. Misoprostol is used for medical abortion, induction of labor, or management of postpartum hemorrhage. It is not used for mild preeclampsia unless there are other indications for delivery.
Betamethasone. This is because betamethasone is a corticosteroid that can help speed up the fetal lung development and reduce the risk of respiratory distress syndrome in preterm babies.
A client with mild pre-eclampsia who is at 32 weeks of gestation may need to deliver early if the condition worsens, so betamethasone can help prepare the baby for birth.
Choice A is wrong because magnesium sulfate is used to prevent seizures in women with severe preeclampsia or eclampsia, not mild preeclampsia. Magnesium sulfate can also prolong pregnancy for up to two days, but it does not improve fetal outcomes.
Choice C is wrong because oxytocin is a hormone that stimulates uterine contractions and induces labor. Oxytocin is not indicated for mild preeclampsia unless there are other reasons to deliver the baby urgently.
Choice D is wrong because misoprostol is a medication that can cause cervical ripening and uterine contractions. Misoprostol is used for medical abortion, induction of labor, or management of postpartum hemorrhage. It is not used for mild preeclampsia unless there are other indications for delivery.