The AGACNP knows that when evaluating a patient with suspected acute pyelonephritis, which of the following is not a common feature?

Correct Answer: D

Rationale: While pyuria, fever, and CVA tenderness are common features of acute pyelonephritis, gross hematuria is less commonly associated with this condition. In acute pyelonephritis, the inflammatory process primarily affects the renal parenchyma and pelvis, leading to symptoms such as fever, chills, flank pain, pyuria (presence of pus in the urine), and CVA tenderness (tenderness over the costovertebral angle). Hematuria in acute pyelonephritis is more likely to be microscopic rather than gross.

Correct Answer: C

Rationale: Splitting after day 12 can lead to conjoined twins (Siamese twins).

Correct Answer: C

Rationale: Ultrasonography is considered essential in all cases of acute abdomen because it is a valuable tool in evaluating various abdominal organs non-invasively. It can quickly identify common causes of acute abdomen such as cholecystitis, pancreatitis, appendicitis, and other intra-abdominal pathologies. Ultrasonography also has the advantage of being radiation-free and can be performed rapidly at the bedside, making it a preferred initial diagnostic modality in the evaluation of acute abdominal pain. Abdominal radiograph, contrast radiography, and chest radiography may have limited utility in the evaluation of acute abdomen compared to ultrasonography.

Correct Answer: B

Rationale: Progesterone therapy is evidence-based and effective in reducing preterm labor in high-risk pregnancies.

Correct Answer: A

Rationale: Caput succedaneum is caused by bleeding between the epicranial aponeurosis and the periosteum.