Which of the following statements about pyelonephritis in pregnancy is correct?
Pyelonephritis in pregnancy does not pose any risks to the fetus.
Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight.
Pyelonephritis is a common condition during pregnancy.
Pyelonephritis is a mild infection that does not require treatment.
The Correct Answer is B
A. Pyelonephritis in pregnancy does not pose any risks to the fetus. Pyelonephritis can lead to complications such as preterm labor, low birth weight, and maternal sepsis, making this statement incorrect.
B. Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight. Pyelonephritis can cause systemic inflammation, leading to complications such as preterm labor and fetal growth restriction. Prompt treatment is necessary to reduce these risks.
C. Pyelonephritis is a common condition during pregnancy. While urinary tract infections (UTIs) are common in pregnancy, pyelonephritis (kidney infection) is less frequent but more serious.
D. Pyelonephritis is a mild infection that does not require treatment. Pyelonephritis is a serious condition that requires immediate antibiotic therapy to prevent maternal and fetal complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You must be feeling scared and powerless." This response acknowledges the client’s emotions, promoting therapeutic communication. It allows the client to express her concerns and helps build trust with the nurse.
B. "Everyone worries about her baby when she's in labor." This response minimizes the client’s concerns and does not directly address her specific feelings or situation.
C. "We have a neonatal unit here that's equipped to handle emergencies." While this is factually correct, it does not acknowledge the client's emotional distress, which is important in therapeutic communication.
D. "Your pregnancy is advanced so your baby should be fine." While 32 weeks is a viable gestational age, it is not guaranteed that the baby will be fine. This response provides false reassurance.
Correct Answer is A
Explanation
A. Variable decelerations are due to umbilical cord compression. Variable decelerations are characterized by abrupt decreases in FHR, often with a "V" or "U" shape. They are caused by umbilical cord compression, which disrupts fetal oxygenation.
B. Variable decelerations are a result of the administration of IV narcotic analgesics. Narcotic analgesics (e.g., morphine, fentanyl) cause decreased FHR variability and prolonged decelerations, not variable decelerations.
C. Variable decelerations are caused by uteroplacental insufficiency. Uteroplacental insufficiency causes late decelerations, not variable decelerations.
D. Variable decelerations are related to fetal head compression. Fetal head compression causes early decelerations, which are gradual and mirror contractions, unlike variable decelerations.
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