Which of these findings would indicate a potential complication related to renal function during pregnancy?
a. Increase in glomerular filtration rate (GFR)
b. Increase in serum creatinine level
c. Decrease in blood urea nitrogen (BUN)
d. Mild proteinuria
ANS: B
With pregnancy, one would expect the serum creatinine and BUN levels to decrease. An elevation in the serum creatinine level should be investigated. With pregnancy, the GFR increases because of increased renal blood flow and is thus a normal expected finding. A decrease in the blood urea nitrogen level and mild proteinuria are expected findings in pregnancy.
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