A pregnant woman who is beginning her third trimester has been diagnosed with a urinary tract infection (UTI). Which of the following factors most likely predisposed this client to the development of a UTI?
A) Increased urine alkalinity during pregnancy
B) Hypertrophy of the bladder wall
C) Dilation of the upper urinary structures
D) Spastic peristalsis of the ureters
Ans: C
Feedback:
Normal changes in the functioning of the urinary tract that occur during pregnancy predispose to UTIs. These changes involve the collecting system of the kidneys and include dilation of the renal calyces, pelves, and ureters that begins during the first trimester and becomes most pronounced during the third trimester. Bladder hypertrophy, spastic peristalsis, and increased urine pH are not phenomena that are common accompaniments to pregnancy.
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