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A 35-Year-Old Multiparous Woman Was Admitted to the Hospital at 36

Question 18

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A 35-year-old multiparous woman was admitted to the hospital at 36 weeks' gestation for nausea,vomiting,and severe epigastric pain.On admission,her vital signs were as follows: pulse,90 beats/min; blood pressure,165/100 mm Hg; respiratory rate,18 breaths/min; and temperature,99.4° F.The patient reported blurred and double vision and a severe headache.The fetal heart rate was normal.She was placed on bed rest.Urine analysis revealed proteinuria.Her vital signs 6 hours later were as follows: pulse,88 beats/min; blood pressure,185/105 mm Hg; respirations,16 breaths/min; and temperature,98.4° F.The fetal heart rate was normal.Severe pre-eclampsia was diagnosed.The patient is placed on a magnesium sulfate drip of 3 g/hr.After 1 hour,she has a recurrent seizure.The nurse should


A) administer another 2- to 4-g bolus of MgSO4.
B) adjust the MgSO4 at a rate of 1 to 2 g/hr.
C) consider delivery.
D) intubate immediately and provide ventilatory support.

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