What is the recommended antibiotic therapy for the treatment of pyelonephritis in pregnancy?
Ciprofloxacin
Ceftriaxone
Amoxicillin
Trimethoprim-sulfamethoxazole (TMP-SMX)
The Correct Answer is B
A. Ciprofloxacin: Ciprofloxacin is a fluoroquinolone, which is contraindicated in pregnancy due to potential adverse effects on fetal cartilage development.
B. Ceftriaxone: Ceftriaxone, a third-generation cephalosporin, is commonly used in pregnancy for pyelonephritis because it is safe and effective against common uropathogens.
C. Amoxicillin: Amoxicillin is not typically the first-line treatment for pyelonephritis because of increasing resistance and less effectiveness against severe infections.
D. Trimethoprim-sulfamethoxazole (TMP-SMX): TMP-SMX is generally avoided in pregnancy, especially in the first trimester (due to neural tube defect risk) and near term (due to kernicterus risk in the newborn).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Blood pressure reading is at the prenatal baseline. If blood pressure remains stable, it does not indicate worsening preeclampsia.
B. Dependent edema has resolved. A decrease in edema suggests an improvement, not worsening, of preeclampsia.
C. Urinary output has increased. Decreased urinary output is concerning in preeclampsia, while increased output suggests better kidney function.
D. The client complains of a headache and blurred vision. These are signs of severe preeclampsia, indicating possible cerebral edema or hypertensive crisis, which requires immediate medical attention.
Correct Answer is B
Explanation
A. Ciprofloxacin: Ciprofloxacin is a fluoroquinolone, which is contraindicated in pregnancy due to potential adverse effects on fetal cartilage development.
B. Ceftriaxone: Ceftriaxone, a third-generation cephalosporin, is commonly used in pregnancy for pyelonephritis because it is safe and effective against common uropathogens.
C. Amoxicillin: Amoxicillin is not typically the first-line treatment for pyelonephritis because of increasing resistance and less effectiveness against severe infections.
D. Trimethoprim-sulfamethoxazole (TMP-SMX): TMP-SMX is generally avoided in pregnancy, especially in the first trimester (due to neural tube defect risk) and near term (due to kernicterus risk in the newborn).
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.