When administering magnesium sulfate for preeclampsia the nurse knows that this drug is given to:
Explanation & Rationale
A. Increase the progress of labor: Magnesium sulfate does not stimulate uterine contractions or accelerate labor. Its pharmacologic action primarily affects neuromuscular excitability rather than uterine contractility. B. Decrease blood pressure: While magnesium sulfate may have a mild vasodilatory effect, it is not used as a primary antihypertensive in preeclampsia. Blood pressure management typically involves medications such as labetalol, hydralazine, or nifedipine. C. Prevent seizures: Magnesium sulfate acts as a central nervous system depressant and blocks neuromuscular transmission, reducing the risk of eclampsia by preventing seizure activity in clients with severe preeclampsia. It is the drug of choice for seizure prophylaxis during pregnancy. D. Prevent contractions: Although magnesium sulfate has some tocolytic properties at high doses, its standard use in preeclampsia is for seizure prevention rather than inhibition of labor, and it is not the first-line agent for stopping preterm contractions.