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.

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. 3+ protein in the urine: Severe proteinuria (≥2+ on dipstick) is a diagnostic criterion for preeclampsia. The presence of 3+ proteinuria is consistent with preeclampsia.

B. 1+ pitting sacral edema: Edema is common in preeclampsia, especially in dependent areas like the hands, face, and sacral region. This is not inconsistent with preeclampsia.

C. Blood pressure 148/98 mm Hg: Preeclampsia is defined as blood pressure ≥140/90 mm Hg after 20 weeks of gestation, with proteinuria or other signs of organ dysfunction. A BP of 148/98 mm Hg is consistent with preeclampsia.

D. Deep tendon reflexes of +1: Hyperreflexia (+3 or +4 reflexes) is a common finding in preeclampsia due to neuromuscular irritability. A +1 reflex response indicates diminished reflexes, which is not characteristic of preeclampsia.

A. Report of headache B. Absence of clonus C. Tachycardia D. Polyuria

Correct Answer is A

Explanation

A. Report of headache: Severe preeclampsia is associated with neurologic symptoms due to cerebral edema and vasospasm. Clients commonly report persistent headaches, visual disturbances, and altered mental status.

B. Absence of clonus: Clonus is a hyperactive reflex response often seen in severe preeclampsia, indicating increased neuromuscular irritability and possible central nervous system involvement. The presence, rather than absence, of clonus is expected.

C. Tachycardia: Severe preeclampsia is more commonly associated with hypertension and bradycardia rather than tachycardia. However, tachycardia may be present if the client is in distress or has an underlying complication.

D. Polyuria: Severe preeclampsia typically causes oliguria (reduced urine output) due to impaired kidney function and decreased renal perfusion, not polyuria.

View Question and Answer

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

Which of the following statements about pyelonephritis in pregnancy is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Correct Answer is D

Explanation

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

Correct Answer is A

Explanation

A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?

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?

The nurse implements a teaching plan for a pregnant client who is newly diagnosed with gestational diabetes mellitus. Which statement made by the client indicates a need for further teaching?

A nurse is teaching a client who is at 15 weeks of gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? (Select all that apply.)

Which of the following is a sign that childbirth labor is likely to begin?

Which of the following statements about pyelonephritis in pregnancy is correct?

In labor, GPTAL is used to assess the client's obstetric history. What does the 'P' in GPTAL stand for?

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