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一位重度子癇前症的個案正在接受 magnesium sulfate 治療。針對每組評估結果，請找出最安全的護理反應。

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	Continue infusion and routine monitoring繼續輸注並常規監測	Pause infusion and notify the prescribing team暫停輸注並通知開立醫囑的團隊	Stop infusion, support breathing, and prepare calcium as ordered停止輸注、支持呼吸，並依醫囑準備鈣劑
Awake and oriented; respirations 16/min; patellar reflexes 2+; urine output 45 mL/hr; no seizure activity清醒且定向感正常；呼吸 16/min；膝反射 2+；尿量 45 mL/hr；無癲癇活動
Mild flushing; respirations 18/min; patellar reflexes 2+; urine output 50 mL/hr; fetal and maternal status otherwise stable輕微潮紅；呼吸 18/min；膝反射 2+；尿量 50 mL/hr；胎兒與母體狀況其他方面穩定
Urine output 20 mL/hr for 2 hours; respirations 14/min; patellar reflexes decreased to 1+尿量 20 mL/hr 持續 2 小時；呼吸 14/min；膝反射減弱至 1+
Increasing drowsiness; respirations 12/min; patellar reflexes newly 1+; urine output falling from 40 to 25 mL/hr嗜睡加重；呼吸 12/min；膝反射新近變為 1+；尿量從 40 降至 25 mL/hr
Respirations 8/min with absent patellar reflexes and difficulty staying awake呼吸 8/min 伴隨膝反射消失且難以保持清醒
Unresponsive with shallow respirations 7/min and hypotension while magnesium is infusing無反應伴隨淺呼吸 7/min 及低血壓，此時 magnesium 正在輸注中

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