Renal Changes in pregnancy
Renal Changes in pregnancy ( 4 Questions)
A nurse is reviewing the laboratory results of a client who is at 28 weeks of gestation and has mild preeclampsia (gestational hypertension with proteinuria).
Which of the following findings should the nurse report to the provider?
Creatinine 0.6 mg/dL is within the normal range of 0.5 to 1.1 mg/dL for women.
This is because preeclampsia is a condition that causes high blood pressure and proteinuria (protein in the urine) after 20 weeks of gestation. Proteinuria is a sign of kidney damage and can lead to complications for the mother and the baby. The normal range of urinary protein is less than 300 mg/day.
Serum uric acid 4 mg/dL is within the normal range of 2.4 to 6 mg/dL for women. Uric acid is another waste product that is filtered by the kidneys and excreted in the urine. A high level of uric acid can cause gout or kidney stones.
Urinary specific gravity 1.015 is within the normal range of 1.005 to 1.030. Specific gravity measures how concentrated the urine is. A high specific gravity indicates dehydration or kidney dysfunction.
This is because preeclampsia is a condition that causes high blood pressure and proteinuria (protein in the urine) after 20 weeks of gestation. Proteinuria is a sign of kidney damage and can lead to complications for the mother and the baby. The normal range of urinary protein is less than 300 mg/day.
Choice A is wrong because serum creatinine 0.6 mg/dL is within the normal range of 0.5 to 1.1 mg/dL for women.
Creatinine is a waste product that is filtered by the kidneys and excreted in the urine. A high level of creatinine indicates kidney impairment.
Choice C is wrong because serum uric acid 4 mg/dL is within the normal range of 2.4 to 6 mg/dL for women.
Uric acid is another waste product that is filtered by the kidneys and excreted in the urine. A high level of uric acid can cause gout or kidney stones.
Choice D is wrong because urinary specific gravity 1.015 is within the normal range of 1.005 to 1.030.
Specific gravity measures how concentrated the urine is. A high specific gravity indicates dehydration or kidney dysfunction.