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A Woman Is in the 36th Week of Pregnancy

Question 4

Multiple Choice

A woman is in the 36th week of pregnancy.The nurse practitioner (NP) providing prenatal care learns that the woman has a history of two previous urinary tract infections during this pregnancy.A dipstick urinalysis in the office today is negative for leukocyte esterase and nitrites.The NP should:


A) prescribe a low-dose sulfonamide antibiotic for urinary tract infection prophylaxis.
B) order nitrofurantoin daily to minimize the patient's risk of urinary tract infection late in her pregnancy.
C) encourage the patient to increase daily water intake and to wear only cotton underwear.
D) order a voiding cystourethrogram to rule out structural anomalies that may cause urinary tract infection.

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