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 A
Explanation
Rationale:
A. Cephalexin (Keflex) is a first-generation cephalosporin commonly used as a first-line oral treatment for uncomplicated urinary tract infections in children. A 7–10 day course is effective for eradicating infection while being well-tolerated.
B. Ciprofloxacin (Cipro) is generally avoided in children due to potential adverse effects on cartilage and is reserved for complicated or resistant infections.
C. Ceftriaxone (Rocephin) IM is typically reserved for severe infections, hospitalized patients, or when oral therapy is not feasible. It is not first-line for uncomplicated UTIs in outpatient children.
D. Nitrofurantoin (Furadantin) is effective for lower urinary tract infections but is usually avoided in children under 1 month and is less preferred in some cases for first-time infections due to limited tissue penetration.
Correct Answer is B
Explanation
Rationale:
A. 0.1–0.2 u/kg/day is too low for initial insulin requirements in children with type 1 diabetes.
B. 0.25–0.45 units/kg/day is the recommended starting total daily insulin dose for children younger than 12 years. This total is typically divided into basal and bolus doses to achieve glycemic control while minimizing the risk of hypoglycemia.
C. 0.3–1.0 u/kg/day may be used in older children or adolescents, especially during puberty when insulin resistance increases.
D. 1–1.5 u/kg/day is generally too high for initial dosing and may increase the risk of hypoglycemia in younger children.
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