Maternal Physio - Urinary Flashcards Preview

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Flashcards in Maternal Physio - Urinary Deck (12)
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1
Q

Serum creatinine and creatinine clearance in pregnancy

A
  • Serum creatinine
    • Decreased
  • Creatinine clearance
    • Increased by about 30%
  • Summary:*
  • The clearance is increased so the actual crea is decreased
2
Q

Is glucosuria abnormal in UA?

A

May not be abnormal

3
Q

Is proteinuria abnormal during pregnancy?

A

Yes

4
Q

Probable cause of hematuria

A

Often a result of contamination during collection

5
Q

Changes in the ureters and mechanism

A

Dilate due to compression from uterus at the pelvic brim and the effect of progesterone

6
Q

Dilation of right versus left ureter and rationale

A

R > L due to the dextroversion of the uterus

7
Q

Effect of dilated ureters

A

Dilated ureters cause ↑ glomerular size and ↑ fluid flow → enlarged kidneys

8
Q

Why pregnant women are at risk to asymptomatic bacteriuria and pyelonephritis

A

Decreased ureteral peristalsis and increased ureteral compression cause urinary stasis

9
Q

Right hydronephrosis in pregnancy

Normal or abnormal?

A

Normal

10
Q

Bladder anatomical changes

  • Trigone
  • Size and tortuosity of vessels
A
  • Trigone
    • Bladder trigone is elevated
  • Size and tortuosity of vessels
    • Increase in size and tortuosity
11
Q

Is continence maintained in pregnancy?

A

Yes

  • bladder pressure increases at term but
  • Intraurethral pressure increases as well
12
Q

Why is the bladder susceptible to trauma and infection

A

Increased preseure from pressenting part

Impaired drainage of blood and lymph from bladder base

Edema

Susceptibility to trauma and infection