Renal and Urinary Disorders in Pregnancy

Question 1

Infection of the pelvis of the kidney

Answer 1

Pyelonephritis

Question 2

Most commonly responsible for UTI

Answer 2

Escherichia coli (ascending infection)

Question 3

Descending infection

Answer 3

Streptococcus B

Question 4

If the infectious organisms is determined to be Streptococcus B, patients will automatically be treated with what medication?

Answer 4

Antibiotics

Question 5

Frequency of and pain on urination

Answer 5

Urinary Tract Infection

Question 6

Maternal effects

Answer 6

May lead to preterm labor and bacteremia causing septic shock

Question 7

Administration of Antibiotics for UTI

Answer 7

Amoxicillin, Ampicillin, Cephalosporins

Sulfonamides - not near term because it may cause hyperbilirubinemia in newborn babies

Tetracyclines are contraindicated

Question 8

Prevention of UTI

Answer 8

1. Void frequently
2. Wiping perineal area from front to back
3. Wearing cotton underwear
4. Voiding immediately after sexual intercourse

Question 9

Results in accumulation of waste products in the blood, electrolyte abnormalities, and anemia

Answer 9

Chronic Renal Disease

Question 10

Increased glomerular filtration rate/creatinine level

Answer 10

Chronic Renal Disease

Question 11

Medical Management for Chronic Renal Disease

Answer 11

1. ACE Inhibitor - preserves kidney function but fetotoxic
2. Low dose aspirin
3. Urine output monitoring
4. Ultrasound every 2 weeks from 24weeks of gestation
5. Non-stress test