A woman who is admitted to labor and delivery at 30 weeks' gestation, is 1 cm dilated, and is contracting q 5 minutes
She is receiving magnesium sulfate IV piggyback. Which of the following maternal vital signs is most important for the nurse to assess each hour?
a. Temperature
b. Pulse
c. Respiratory rate
d. Blood pressure
ANS: c
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a. The temperature should be monitored, but it is not the most important vital sign.
b. The pulse rate should be monitored, but it is not the most important vital sign.
c. The respiratory rate is the most important vital sign. Respiratory depression is a sign of magnesium toxicity.
d. The blood pressure should be monitored, but it is not the most important vital sign.
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