Page 196 - Critical Maternity & Newborn Health Nursing

 Depresses CNS, respiratory paralysis, and cardiac arrest if

serum magnesium level is too high by block the transmission of

nerve impulses

 Decrease FHR and neonatal neuromuscular and respiratory

depression

 Toxicity → nausea, feeling of warmth, flushing, double

vision, slurred speech and weakness.

Follow up activity:

Scenario VIII:

Woman is 30 years G1P0, Breech presentation, while assessing her, she

is undergoing a tonic colonic seizure. The nurse secures the patient’s

airway, and within a few minutes the seizure is over. The blood

pressure is 160/110. Fetal heart rate tracing indicates 80b/m. Protein

urea is +++ and marked edema generalized in the body.

Questions from 1 to 9 are based on the previous scenario:

1. Which of the following is the appropriate next step in the

management?

A. Amniotomy and pitocin administration

B. Prepare for emergent cesarean section because the patient is eclamptic

C. Urine analysis for protein urea

D. Begin magnesium sulfate intravenously to prevent recurrent seizures

2. Which of the following is important in preventing recurrent seizure?

A. Isolate the patient and avoid the noise

B. Prepare for emergent cesarean section because the patient is eclamptic

C. Amniotomy and pitocin administration

D. Begin IM Magnesium sulfate 4gm once

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