Magnesium sulfate during labor

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A 34 years old, g 5 p-2-1-2-3, who has just delivered 9 pound baby boy. she had severe pre-eclampsia and was placed on magnesium sulfate during labor. her labor was also agumented with oxytocin. her spontaneous delivery was over a median episiotomy that extended to a 3 laceration with delivery of the baby shoulder. Her placenta was delivered spontaneously 5minutes after the baby was born. There is an IV running of 5% Dextrose and water with 20 units of oxytocin running at 125mL per hour. The nurse caring for her is making the initial assessment, 5 minutes after completion of the suturing of the episiotomy. What would be the nurse's action in priority order rational?

Reference no: EM133625582

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