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 B
Explanation
Serum creatinine and urea are waste products of protein metabolism that are normally filtered by the kidneys and excreted in urine.
In pregnancy, the glomerular filtration rate (GFR) increases by about 50%, which means more creatinine and urea are cleared from the blood.Therefore, serum creatinine and urea levels decrease in pregnancy compared to nonpregnant women.
A. Increased serum creatinine and urea levels are wrong because they indicate impaired kidney function or dehydration, which are not normal in pregnancy.
C. Unchanged serum creatinine and urea levels are wrong because they do not reflect the increased GFR in pregnancy.
D. Increased glomerular filtration rate is correct but it is not a finding regarding serum creatinine and urea levels, which are the focus of the question.
Normal ranges for serum creatinine and urea vary depending on the laboratory and the units used, but based on a nonpregnant reference interval of 45-90 μmol/l (0.51-1.02 mg/dl) for creatinine and 2.5-6.4 mmol/l (7-18 mg/dl) for urea, a serum creatinine of >77 μmol/l (0.87 mg/dl) and a blood urea of >8.5 mmol/l (24 mg/dl) should be considered outside the normal range for pregnancy.
Correct Answer is B
Explanation
Back pain is a common symptom experienced due to increased muscle strain during pregnancy.
As the uterus grows and the center of gravity shifts, there is more pressure on the lower back muscles and ligaments.
This can cause pain, difficulty with balance, and reduced activity.
Choice A is wrong because leg cramps are not caused by muscle strain, but by other factors such as dehydration, electrolyte imbalance, or compression of blood vessels.
Choice C is wrong because pelvic pain is not a typical symptom of musculoskeletal changes during pregnancy.
Pelvic pain can be caused by other conditions such as urinary tract infection, preterm labor, or pelvic girdle pain.
Choice D is wrong because carpal tunnel syndrome is not a result of muscle strain, but of fluid retention and swelling that compresses the median nerve in the wrist.
This can cause numbness, tingling, or pain in the hand and fingers.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.