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 ["A","B","C"]

Explanation

A. Fetal breathing: Fetal breathing movements are assessed as part of the BPP, which evaluates fetal well-being.

B. Fetal motion: Fetal movements, including limb and body movements, are an essential component of the BPP.

C. Amniotic fluid volume: The amount of amniotic fluid is measured to assess fetal hydration and placental function.

D. Fetal gender: The BPP does not assess fetal gender; it focuses on fetal well-being rather than genetic characteristics.

E. Fetal neck translucency: Nuchal translucency (fetal neck thickness) is assessed during first-trimester ultrasound screening for chromosomal abnormalities, not during a BPP.

A. Increase the client's IV fluid infusion rate. B. Palpate the client's uterus. C. Administer oxygen to the client. D. Turn the client onto her side.

Correct Answer is D

Explanation

A. Increase the client's IV fluid infusion rate. While increasing IV fluids can improve placental perfusion, the priority intervention for late decelerations is repositioning the client to relieve uteroplacental insufficiency.

B. Palpate the client's uterus. Uterine palpation helps assess for tachysystole (excessive contractions), which could contribute to late decelerations. However, this is not the priority intervention.

C. Administer oxygen to the client. Oxygen administration (8-10 L/min via face mask) improves fetal oxygenation, but repositioning the client should be done first to relieve pressure on the placenta.

D. Turn the client onto her side. Repositioning the client to the left or right lateral position improves uteroplacental circulation and reduces compression of the inferior vena cava, increasing blood flow to the fetus.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)

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

Explanation

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?

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

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A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia. Which of the following clinical findings is the nurse's priority?