A 39-year-old African American (Darlene) married multigravida (4-0-1-2-1) is at 31 weeks gestation and is complaining of a backache that has not been relieved with Tylenol. Her first two pregnancies resulted in spontaneous abortions at 13 and 14 weeks. Her third pregnancy resulted in the birth of her 4-year-old daughter at 33 weeks’ gestation. Admits to smoking “one pack of cigarettes every 1 to 2 days.” Her health history reveals that she has been hypertensive since age 20 and often experiences bladder infections. She was also diagnosed with Type II diabetes at age 37 for which she takes an oral antidiabetic medication. Cervix is 3 cm, 50% effaced, -2 station. Magnesium sulfate therapy is ordered for treatment of preterm labor. The nurse prepares for IV magnesium sulfate administration. 1. How will magnesium sulfate therapy be initiated? What intervals and dosages should be anticipated? 2. What nursing actions would relate to the use of this medication? 3. How would the nurse respond to Darlene’s questions about the risks of preterm delivery and what can be done to help her baby?
[Answered]: A 39-year-old African American (Darlene) married…
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