Author Question: To reassure and educate patients concerning the function of their kidneys in eliminating waste ... (Read 49 times)

strangeaffliction · **on:** Jun 27, 2018

To reassure and educate patients concerning the function of their kidneys in eliminating waste products, maternity nurses should be aware that

1. increased urinary output makes pregnant women less susceptible to urinary infec-tion.
2. increased sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty.
3. renal (kidney) function is more efficient when the woman assumes a supine posi-tion.
4. using diuretics during pregnancy can help keep the kidney function regular.

Question 2

For which of the following situations is breastfeeding considered tolerable (reluctantly) under strict conditions?

1. The new mother is HIV positive.
2. The new mother uses hard drugs like heroin or cocaine.
3. The new mother smokes marijuana.
4. The new mother smokes cigarettes.

bigsis44 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
1. Incorrect. A number of anatomic changes make a pregnant woman more susceptible to urinary tract infection.
2. Correct. At first sensitivity is the cause, then compression by the uterus.
3. Incorrect. Renal function is more efficient when the woman lies in the lateral recumbent position and less efficient when supine.
4. Incorrect. Diuretic use during pregnancy can overstress the system and cause problems.

Answer to Question 2

4
1, 2, 3. Incorrect. HIV can be transmitted in breast milk, as can all substances to some degree. Smoking is acceptable (but still discouraged) if the mother avoids smoking 2 hours before feed-ing. She should also avoid smoking in the same room as the infant.
4. Correct. HIV can be transmitted in breast milk, as can all substances in some degree. Smoking is acceptable (but still discouraged) if the mother avoids smoking 2 hours before feeding. She should also avoid smoking in the same room as the infant.