A woman presents to the prenatal clinic at 30 weeks' gestation reporting dysuria, frequency, and urgency with urination. Appropriate nursing actions include:
a. Obtain clean-catch urine to assess for a possible urinary tract infection.b. Reassure the woman that the signs are normal urinary changes in the third trimester.c. Teach the woman to decrease fluid intake to manage these symptoms.d. Perform a Leopold's maneuver to assess fetal position and station.
ANS: a
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a. Correct. Dysuria, frequency, and urgency with urination are signs and symptoms of a urinary tract infection, necessitating further assessment and testing.
b. These are abnormal urinary symptoms in the third trimester.
c. Pregnant women need to increase their fluid intake during pregnancy, and dysuria and urgency are abnormal.
d. Assessment of fetal position and station is not an appropriate response to reported signs and symptoms of a urinary tract infection.
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