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Nursing Care of Women at Risk During Pregnancy & Post-partum

Why does a nurse encourage continued health care supervision for a pregnant woman with pyelonephritis?

Preeclampsia frequently occurs after pyelonephritisAntibiotic therapy should be administered until the urine is sterilePelvic inflammatory disease can occur with untreated pyelonephritisNutritional needs change to accommodate the prescribed low-protein diet

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ExplanationB. Health care supervision requires treatment with an appropriate antibiotic until two cultures of urine are negative; recurring pyelonephritis often leads to preterm birth. A. Preeclampsia is not preceded by specific infections. C. Pelvic inflammatory disease (PID) is associated with infections of the genital, not the urinary, tract. D. A low-protein diet inhibits fetal development and is contraindicated during pregnancy.

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