At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

Sexually transmitted infections.

Glucose.

Ketones.

Testosterone levels.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Clean catch urine specimens are not used to test for sexually transmitted infections as these require specific culture tests or nucleic acid amplification tests for accurate detection.

Choice B rationale

Glucose testing in urine helps monitor gestational diabetes or potential diabetes mellitus in pregnant clients. Normal urine glucose levels are typically negligible.

Choice C rationale

Ketones in urine indicate fat metabolism, which can occur during fasting or inadequate carbohydrate intake, and are relevant in the management of diabetic patients.

Choice D rationale

Clean catch urine specimens do not test for testosterone levels, which require serum measurements. Prenatal urine tests focus on glucose, protein, and signs of infection.

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Correct Answer is D

Explanation

Choice B rationale: Ceftriaxone does not commonly cause dark urine or a metallic taste. These side effects are typically associated with other antibiotics, like metronidazole. The nurse should provide accurate information about medication side effects to maintain client trust.

Choice C rationale: Azithromycin absorption is not significantly affected by calcium intake. Unlike tetracyclines, which bind with calcium and reduce efficacy, azithromycin’s pharmacokinetics remain stable, ensuring the medication effectively treats the infection.

Choice D rationale: Discussing options for notifying sexual partners is essential for preventing the spread of sexually transmitted infections. It ensures that partners can seek testing and treatment, reducing the risk of re-infection and promoting overall community health.

A. Calculate the estimated date of birth. B. Obtain the client’s personal and family medical history. C. Obtain information about prior pregnancies. D. Check the client’s urine with a reagent strip. E. Schedule the client for prenatal laboratory testing. F. Discuss chorionic villus sampling with the client.

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale

Calculating the estimated date of birth involves determining the gestational age. Gestational age is crucial for monitoring fetal development and timing prenatal care.

Choice B rationale

Obtaining the client’s personal and family medical history helps identify genetic risks, potential complications, and health conditions that may affect pregnancy and delivery.

Choice C rationale

Obtaining information about prior pregnancies provides insight into potential risks and outcomes. Previous pregnancy complications can indicate risks for the current pregnancy.

Choice D rationale

Checking the client’s urine with a reagent strip screens for urinary tract infections, protein, and glucose levels. UTIs can cause complications, while protein and glucose levels help monitor maternal health.

Choice E rationale

Scheduling the client for prenatal laboratory testing, such as blood work and ultrasounds, helps assess maternal and fetal health. Tests like blood type, Rh factor, and infectious diseases are essential for prenatal care.

Choice F rationale

Discussing chorionic villus sampling is not necessary at 18 weeks of gestation. CVS is typically performed between 10-13 weeks for early genetic testing.

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At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

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Naxlex Comprehensive Predictor Exams

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse is teaching the client about the treatment plan. Which statement by the nurse would be appropriate?

Correct Answer is D

Explanation

A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

Correct Answer is ["A","B","C","D","E"]

Explanation

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