A woman receiving magnesium sulfate for eclampsia has absent patellar reflexes and a respiratory rate of 10 breaths per minute. What should the nurse do first?
Correct answer: B. Stop magnesium sulfate and prepare calcium gluconate
- A. Continue the infusion and reassess in 30 minutes
- B. Stop magnesium sulfate and prepare calcium gluconate
- C. Give an additional dose of magnesium sulfate
- D. Encourage deep breathing and offer oral fluids
Explanation
Absent reflexes and respiratory depression indicate magnesium sulfate toxicity. The infusion must be stopped, breathing supported, and calcium gluconate prepared as the antidote according to local protocol.
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About Obstetric Emergencies
Acute threats to the mother or fetus include postpartum haemorrhage, eclampsia, shock, cord prolapse, shoulder dystocia, uterine rupture, amniotic fluid embolism and fetal distress. The subject covers rapid assessment, airway and circulation support, emergency medicines, positioning, preparation for assisted or operative birth, and coordinated referral.
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50 free Obstetric Emergencies MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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