What is the recommended antibiotic therapy for the treatment of pyelonephritis in pregnancy?

Ciprofloxacin

Ceftriaxone

Amoxicillin

Trimethoprim-sulfamethoxazole (TMP-SMX)

Answer and Explanation

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).

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Correct Answer is D

Explanation

A. "I will need to eat 600 more calories per day because I am pregnant." Pregnant clients with diabetes require careful calorie management. The recommended increase is about 300 kcal/day, not 600, to support fetal growth while maintaining glycemic control.

B. "I will plan my diet based on the results of urine glucose testing." Urine glucose testing is not a reliable indicator of blood glucose control because it does not reflect real-time fluctuations. Clients should base dietary adjustments on blood glucose monitoring.

C. "I can continue with the same diet as before pregnancy as long as it is well balanced." Pregnancy alters insulin needs, requiring dietary modifications to maintain blood glucose control. Carbohydrate intake must be carefully regulated to prevent hyperglycemia.

D. "Diet and insulin needs change during pregnancy." Hormonal changes in pregnancy increase insulin resistance, necessitating adjustments in diet and insulin therapy to maintain optimal blood glucose levels.

A. First stage, latent phase B. Second stage of labor C. First stage, active phase D. First stage, transition phase

Correct Answer is A

Explanation

A. First stage, latent phase: The first stage of labor consists of the latent, active, and transition phases. Latent phase: Cervical dilation 0-3 cm, contractions mild and irregular (every 5-10 minutes, lasting 30-45 seconds). Client in this scenario matches these criteria.

B. Second stage of labor: The second stage of labor begins at full cervical dilation (10 cm) and ends with birth. The client is only 2 cm dilated, so she is still in the first stage.

C. First stage, active phase: The active phase of labor occurs when the cervix is 4-7 cm dilated and contractions are stronger, longer, and more frequent (every 3-5 minutes). The client is only 2 cm dilated, so she is still in the latent phase.

D. First stage, transition phase: The transition phase occurs when the cervix is 8-10 cm dilated, and contractions occur every 2-3 minutes, lasting 60-90 seconds. The client is far from this stage.

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What is the recommended antibiotic therapy for the treatment of pyelonephritis in pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a prenatal visit, the nurse is explaining dietary management to a woman diagnosed with pre-gestational diabetes. Which statement by the client reassures the nurse that teaching has been effective?

Correct Answer is D

Explanation

A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration. The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station with a FHR around 140/min. Which of the following stages and phases of labor is the client experiencing?

Correct Answer is A

Explanation

A nurse receives a report about a client who is in labor and is having contractions 3 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?

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During CPR on a pregnant woman, what is the correct method for displacing the gravid uterus?

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor. Which of the following findings confirm to the nurse that the client is in labor?