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.

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Correct Answer is ["A","C","D"]

Explanation

A. Weight loss: Severe and prolonged nausea/vomiting leads to weight loss (>5% of pre-pregnancy weight). This is a key feature of hyperemesis gravidarum.

B. Abdominal cramping: Hyperemesis gravidarum does not cause abdominal cramping. Cramping is more associated with miscarriage, ectopic pregnancy, or gastrointestinal conditions.

C. Severe vomiting: Persistent, severe vomiting is the hallmark sign of hyperemesis gravidarum. It is much more severe than typical morning sickness and leads to dehydration and nutritional deficiencies.

D. Electrolyte imbalance: Prolonged vomiting leads to dehydration and loss of essential electrolytes (e.g., hypokalemia, hyponatremia, metabolic alkalosis).

E. Vaginal blood spotting: Hyperemesis gravidarum does not cause vaginal bleeding. Vaginal spotting could indicate a miscarriage or another obstetric complication.

A. "I need to lie flat on my back to perform the procedure." B. “If I count fewer than 10 kicks in a 2-hour period, I would count the kicks again over the next 2 hours." C. "I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks." D. “I will record the number of movements or kicks."

Correct Answer is A

Explanation

A. "I need to lie flat on my back to perform the procedure." Lying flat on the back can cause supine hypotension syndrome due to compression of the inferior vena cava. The client should lie on her left side or sit in a comfortable position to improve placental circulation.

B. “If I count fewer than 10 kicks in a 2-hour period, I would count the kicks again over the next 2 hours." If fewer than 10 movements are felt in 2 hours, the client should rest, eat, and try counting again. If movements remain low, she should contact her provider.

C. "I need to place my hands on the largest part of my abdomen and concentrate on the fetal movements to count the kicks." Placing hands on the abdomen helps the client feel subtle fetal movements.

D. “I will record the number of movements or kicks." Keeping a record of fetal movements helps monitor fetal well-being.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client at 10 weeks of gestation who has been diagnosed with hyperemesis gravidarum. Which of the following manifestations should the nurse expect? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

The nurse in a health care clinic is instructing a pregnant client how to perform "kick counts." Which statement by the client indicates a need for further instruction?

Correct Answer is A

Explanation

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