Renal and Urinary Disorders and Pregnancy

Question 1

A Woman with a UTI
4%-10% 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

10%-15%

Question 2

Assessment: (S/S)
- Frequency and pain on urination
- Pain in lumbar region that radiates downward (pyelonephritis)
- N & V
- Malaise
- Fever

Answer 2

A Woman with a UTI

Question 3

Tx/Management
- Clean-catch urine sample for culture and sensitivity
- Common anti-infectives: amoxicillin, ampicillin, cephalosphorins
- Sulfonamides can be used in early pregnancy
- Tetracyclines are contraindicated

Answer 3

A Woman with a UTI

Question 4

________________ is that which contracts more frequently than usual

Answer 4

Hyperactive bladder

Question 5

• Hyperactive bladder is that which contracts more frequently than usual
• S/S: Urinary frequency, urgency, incontinence
• Tx: Fesoterodine – antispasmodic drug

Answer 5

A Woman with a Hyperactive Bladder

Question 6

• Kidneys may not produce erythropoietin and may cause severe anemia
• Pt may require dialysis
  
  • Risk: preterm labor
  • Progesterone may be administered IM before dialysis

Answer 6

A Woman with Chronic Renal Disease