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Author Question: The patient asks why she has been having urinary tract infections (UTIs) more frequently since ... (Read 106 times)

laurencescou

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on: Jun 28, 2018
The patient asks why she has been having urinary tract infections (UTIs) more frequently since becoming pregnant. The nurse explains that which of the following factor(s) predispose(s) the pregnant patient to UTIs? (Select all that apply.)
 
  a. Compression of the ureters
  b. Decreased urine flow to the bladder
  c. Increased surface area of the bladder
  d. Relaxation of the bladder muscle
  e. Glycosuria favoring bacterial growth
  f. Increased thirst

Question 2

A nurse is caring for a woman who has been hypertensive since her thirty-fourth week of gestation. Assessment findings include urine protein +3, platelet count 95,000 mm3, and elevated AST and ALT levels.
 
  The nurse should suspect the development of which of the following?
  a. HELLP syndrome
  b. Placenta previa
  c. Hyperglycemia
  d. Abruptio placentae


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DHRUVSHAH

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A, B, D, E
Urinary tract infections are relatively common in pregnant women. The anatomic and hormonal changes of pregnancy put the woman at increased risk for the development of a urinary tract infection. The following predispose the pregnant woman to UTIs: anatomic changes such as uterine compression of ureters, decreased urine flow to bladder, and urinary stasis; glycosuria favoring bacterial growth; progesterone relaxing the bladder muscle, causing delayed emptying and urinary stasis.

Answer to Question 2

ANS: A
Severe preeclampsia and eclampsia have been associated with the HELLP syndrome (hemolysis, elevated liver enzymes, low platelets). In women who exhibit the HELLP syndrome, the onset of seizures may be abrupt. Normal platelet count is 150,000 to 300,000/mm3.


laurencescou

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Reply #2 on: Jun 28, 2018
Thank you


DHRUVSHAH

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Reply #3 on: Jun 28, 2018
No problemo


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