Arab Board Ob Gyn Final Written Practice Questions - Arab Board Obstetrics And Gynecology Final Written Examination Exam

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A 24-year-old woman in active labor at 38 weeks develops a generalized tonic-clonic eclamptic seizure. A loading dose of intravenous magnesium sulfate is administered. During the continuous maintenance infusion, the nurse notes absent patellar deep tendon reflexes and a respiratory rate of 9 breaths per minute. Which of the following is the most appropriate immediate intervention?

Administer intravenous Diazepam 10 mg immediately Stop magnesium sulfate infusion and administer 10% Calcium Gluconate 10 mL intravenously over 3-5 minutes Increase intravenous fluid rate to accelerate renal clearance Intubate the patient immediately before administering any pharmacologic antidote

Correct Answer:

Stop magnesium sulfate infusion and administer 10% Calcium Gluconate 10 mL intravenously over 3-5 minutes

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