Unit 2 Case Study 1 Nursing Care of the Laboring Patient Cindy, a 17-year-old G1
ID: 244643 • Letter: U
Question
Unit 2 Case Study 1
Nursing Care of the Laboring Patient
Cindy, a 17-year-old G1P0 is admitted to the labor and delivery unit for an induction at 38 weeks gestation. She was diagnosed with preeclampsia at 34 weeks gestation. She has been on strict bed rest for the past 4 weeks. She has been doing daily fetal kick counts and had a BPP done 2 days ago which was normal. She has been placed on an external fetal monitor and FHT’s are 125-135 with accelerations noted. The external contraction monitor shows no contractions and Cindy denies feeling any contractions. A vaginal exam is done and she is 2 cm dilated, 75% effaced and the fetus is at a 0 station. An IV of LR has been started in her left forearm and is running at 75ml/hr. The physician has prescribed MgSO4 and has ordered initial admission labs: CBC, Type and Cross and a Liver Profile now and a MgSO4 level to be drawn in 2 hours. The time is now 0800. What is the normal loading dose for MgSO4? What assessments should the nurse perform related to the administration of MgSO4 and potential side effects? Why is Cindy receiving this medication?
Explanation / Answer
1. Normal loading dose of MgSO4 IV administration is 8ml 50? MgSO4 (4mg) with 22ml 5? Glucose initially.
2. Nurse should take care for convulsion, if not stopped IV/IM regime can be followed but overdose should not be given. It may leads to hypertension, respiratory problem, nausea/vomiting, flushing, dizziness, doubled vision and improper speech
3.Cindy receiving this treatment with MgSO4 to treat her eclamptic seizures and to prevent severe seizures.
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