A nurse is caring for a pregnant client who is experiencing increased urinary protein levels.
What is the primary cause of this change?
Decreased glomerular permeability.
Decreased protein intake.
Increased glomerular filtration rate.
Increased tubular reabsorption.
The Correct Answer is C
Increased glomerular filtration rate.
This is because during pregnancy, the renal blood flow and glomerular filtration rate increase to meet the increased metabolic demands of the mother and fetus.
This can result in increased urinary protein excretion, which is usually mild and does not indicate renal damage.
Choice A is wrong because decreased glomerular permeability would reduce the amount of protein that can pass through the glomerulus and into the urine.
Choice B is wrong because decreased protein intake would not affect the urinary protein levels, unless the intake is severely deficient.
Choice D is wrong because increased tubular reabsorption would decrease the amount of protein that is excreted in the urine, as the tubules would reabsorb more protein from the filtrate and return it to the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Prolactin is a hormone that is responsible for inhibiting ovulation and stimulating milk production during pregnancy.
It is produced by the anterior pituitary gland and increases throughout pregnancy.
Choice A is wrong because hCG (human chorionic gonadotropin) is a hormone that is produced by the placenta and maintains the corpus luteum, which secretes progesterone and estrogen.
hCG does not inhibit ovulation or stimulate milk production.
Choice B is wrong because progesterone is a hormone that is produced by the corpus luteum and the placenta and supports the endometrium, prevents uterine contractions, and prepares the breasts for lactation.
Progesterone does not inhibit ovulation or stimulate milk production.
Choice C is wrong because estrogen is a hormone that is produced by the corpus luteum and the placenta and stimulates uterine growth, blood flow, and breast duct development.
Estrogen does not inhibit ovulation or stimulate milk production.
Correct Answer is A
Explanation
Progesterone is responsible for maintaining the corpus luteum and stimulating fetal growth.
Progesterone also prevents miscarriage by relaxing the uterus and maintaining the endometrium.
Choice B is wrong because estrogen is not responsible for maintaining the corpus luteum or stimulating fetal growth.
Estrogen helps develop the female sexual traits and supports the growth of the uterus and placenta.
Choice C is wrong because thyroid hormones are not responsible for maintaining the corpus luteum or stimulating fetal growth.
Thyroid hormones regulate the metabolism and energy levels of the mother and the fetus.
Choice D is wrong because prolactin is not responsible for maintaining the corpus luteum or stimulating fetal growth.
Prolactin stimulates milk production in the breasts after delivery.
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