A pregnant patient complains of urinary frequency. She denies fever, dysuria, back pain, or hematuria. Urine dipstick is negative for leukocytes, protein, or blood. The clinician should:
A. Explain to the patient that the uterus places pressure on the bladder during pregnancy
B. Advise the patient she needs urine culture and sensitivity
C. Obtain a glucose tolerance test
D. Obtain 24-hour urine for protein
Question 2The clinician should be aware of the Wells' Criteria when evaluating a patient for deep vein thrombosis (DVT). Wells' Criteria are risk factors that are assigned points toward the likelihood of DVT. Wells' Criteria include:
A. Active cancer
B. Recent bedridden condition
C. Pitting edema
D. All of the above
Question 3Your pregnant patient is at 8 weeks' gestation and complains of pain that radiates from the wrist into the fingers in the right hand. She is a computer programmer and uses a keyboard daily for 6 hours or more. The clinician should:
A. Ask the person to place dorsal surfaces of hands together to check for Phalen's sign
B. Teach the patient that carpal tunnel syndrome is common during pregnancy
C. Tap the patient's right wrist to try to elicit tingling in the fingers for Tinel's sign
D. All of the above
Question 4A pregnant woman under your care complains of indigestion, belching, flatulence, and upper right quadrant cramping pain that comes and goes. What diagnostic test should be ordered?
A. Gall bladder HIDA scan
B. Ultrasound of the gall bladder
C. Abdominal CT scan
D. Upper endoscopy
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