A nurse is reinforcing discharge teaching with a client who is pregnant and was treated for a urinary tract infection. Which of the following should the nurse include in the discharge instructions? (Select all that apply.)
Douche after each sexual encounter.
Avoid urinating at bedtime.
Refrain from taking bubble baths.
Eliminate yogurt products from diet.
Wear cotton-crotch underwear.
Correct Answer : C,E
A. Douching is not recommended as it can disrupt the natural vaginal flora and potentially lead to further infections. Instead, maintaining good hygiene without douching is advised.
B. Urinating before bedtime is actually recommended to help flush out bacteria from the urinary tract. Avoiding urination at bedtime can increase the risk of developing a urinary tract infection.
C. Bubble baths can irritate the vaginal area and increase the risk of a urinary tract infection. Pregnant clients should be advised to avoid bubble baths and use mild, unscented soaps instead.
D. Yogurt products are beneficial because they contain probiotics that can help maintain a healthy balance of bacteria in the vagina and urinary tract. Eliminating yogurt from the diet is not necessary and may be counterproductive.
E. Wearing cotton-crotch underwear helps keep the vaginal area dry and reduces the risk of infections. Cotton allows for better air circulation and absorbs moisture compared to synthetic fabrics.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "I will need to start chemotherapy immediately." is incorrect. Chemotherapy is not always immediately necessary. Treatment depends on follow-up tests and the presence of persistent or malignant disease.
B. "I will need home palliative services after I am discharged from the hospital." is incorrect. Most clients recovering from a molar pregnancy do not require home palliative services unless there are specific complications.
C. "I will need an amniocentesis within 1 month." is incorrect. Amniocentesis is not required for clients recovering from a molar pregnancy.
D. "I will need to attend a support group when I get home." is correct. Support groups are helpful for emotional support and recovery after a molar pregnancy.
Correct Answer is A
Explanation
A. Group B Streptococcus (GBS) status is typically re-evaluated at around 36 weeks of gestation to determine if prophylactic antibiotics are needed during labor to prevent transmission to the baby.
B. A positive GBS test does not automatically indicate a cesarean birth. Intravenous antibiotics during labor are generally used to prevent transmission of GBS to the newborn.
C. GBS infection can cause serious complications in newborns, but hearing loss is not a typical outcome. The primary concerns are sepsis, pneumonia, and meningitis.
D. Antibiotics for GBS are given during labor, not the last two weeks of pregnancy. The treatment aims to reduce the risk of GBS transmission to the baby during delivery.
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