Renal and Urinary Disorders and Pregnancy

Question 1

A Woman with a UTI
__%-__% of nonpregnant women have asymptomatic bacteriuria
__%-__% of pregnant women have UTI
In pregnancy, ureters dilate (effect of estrogen), stasis of urine can occur

Answer 1

4%-10%

10%-15%

Question 2

Assessment: (S/S) UTI

Answer 2

• Frequency and pain on urination
• Pain in lumbar region that radiates downward (pyelonephritis)
• N & V
• Malaise
• Fever

Question 3

Tx/Management UTI
1. ________________ sample for culture and sensitivity
2. Common anti-infectives: _________, _________, _______
3. ______________can be used in early pregnancy
4. ________ are contraindicated

Answer 3

1. Clean-catch urine sample
2. amoxicillin, ampicillin, cephalosphorins
3. Sulfonamides
4. Tetracyclines

Question 4

________________ is that which contracts more frequently than usual

Answer 4

Hyperactive bladder

Question 5

Hyperactive Bladder S/S and Tx:

S/S:
a.
b.
c.

Tx: _____________ – antispasmodic drug

Answer 5

a. Urinary frequency
b. urgency
c. incontinence

• Fesoterodine

Question 6

• Kidneys may not produce erythropoietin and may cause severe anemia
• Pt may require dialysis

Answer 6

Chronic Renal Disease

Question 7

Pregnancy Risk of Chronic Renal Disease

Answer 7

preterm labor

Question 8

Tx of CRD

Answer 8

• Progesterone may be administered IM before dialysis
  -synthetic erythropoeitin

Question 9

most common cause of ascending infections in UTI

Answer 9

E. coli

Question 10

may cause descending infection and is associated with pneumonia in NB

Answer 10

Step B