The nurse practitioner is informing a pregnant adolescent in her first trimester about the frequency of prenatal visits. The NP instructs her to return:
Every 2 weeks until 16 weeks' gestation.
Every 4 weeks until 28 weeks' gestation.
every 4 weeks between 28 and 36 weeks of gestation.
Every 2 weeks after 36 weeks' gestation.
The Correct Answer is B
Rationale:
A. Visits every 2 weeks until 16 weeks are not standard; early prenatal visits are generally spaced slightly farther apart unless high-risk conditions exist.
B. Prenatal visits are typically scheduled every 4 weeks until 28 weeks’ gestation for a healthy, low-risk pregnancy. These visits monitor maternal and fetal health, provide education, and identify potential complications early.
C. Between 28 and 36 weeks, visits usually occur every 2 weeks, not every 4 weeks.
D. After 36 weeks, visits are generally weekly to closely monitor maternal and fetal well-being before delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. St. John’s wort is not recommended during pregnancy due to limited safety data and potential drug interactions.
B. SNRIs may be considered in adults but have less safety data in pregnancy compared with SSRIs.
C. Selective serotonin reuptake inhibitors (SSRIs) are first-line pharmacologic therapy for depression during pregnancy when nonpharmacologic measures are insufficient. SSRIs like sertraline or fluoxetine have the most safety data for use in pregnant adolescents.
D. Tricyclic antidepressants (TCAs) are generally reserved for cases unresponsive to SSRIs due to more adverse effects and risk of cardiotoxicity.
Correct Answer is C
Explanation
Rationale:
A. Bowel cleansing may be considered if constipation is contributing, but it is not the standard next step when behavioral strategies alone fail.
B. Urinalysis is useful for ruling out underlying urinary tract infections or diabetes but is typically performed earlier in the evaluation process.
C. A bedwetting alarm is a first-line second-step intervention after behavioral modifications have not produced improvement. It conditions the child to wake in response to bladder fullness and has demonstrated efficacy in reducing nocturnal enuresis.
D. Referral to a pediatric urologist is generally reserved for refractory cases, underlying anatomic abnormalities, or complicated presentations, not as the immediate next step after failed behavioral therapy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.