NM701 MODULE 7 QUESTIONS & ABNSWERS
About how many women seek care for incontinence? - Answer -25%
What are the percentages of affected women? - Answer -Over age 20-17%
over age 60-38%
What is untreated incontinence assoc. with? - Answer -falls, fractures, sleep
disturbances
What is stress incontinence? - Answer -The loss or leaking of urine during exercise,
sneezing, laughing, coughing, or when lifting something heavy.
What is urge incontinence? - Answer -Overactive bladder- the loss of urine as soon as
you feel the urge to go to the bathroom.
What is mixed incontinence? - Answer -*most common* -combination of stress and
urge incontinence
What is functional incontinence? - Answer -Caused by problems that prevent you from
getting to the bathroom in time to avoid an accident (trouble walking from arthritis). I.E.
dimentia, mobility issues
What should we include in our exam of Urinary incontinence? - Answer -History!-a
short screening tool really works
U/A-r/o infection, cancer
paper towel test
bimanual exam-ant. prolapse
voiding diary
What kind of behavior modifications should be managed first? - Answer -The knack
voiding diaries timed voids
fluid: the goldilocks meme
smoking cessation
wt. reduction as needed
What is a cystocele? - Answer -herniation of the bladder into the vagina
When should you refer a gyn patient? - Answer -blood without infection
suspected overflow or neurological issues underlying sensation problems
surgery candidate
What is cystitis? - Answer -*most common type of UTI
Lower urinary tract, bladder and urethra
dysuria, frequency, urgency, possibly hematuria
, usually afebrile
no CVA tenderness/no flank pain
What is Uncomplicated cystitis? - Answer -occurs in healthy unpregnant women.
no recent tx. w/ abx.
no UTI in last 6 mo. (<2 in last 12 mo. )
no decreased immunity d/t other conditions
no s/s of upper tract infection
What is complicated cystitis? - Answer -Previous UTI in last 6 mo.
>/= 2 UTI's in the last 12 mo.
pregnant
recent tx w/ abx.
decreased immune fx. d/t other conditions
s/s of upper tract infection
What is asymptomatic bacteriuria? - Answer -Presence of bacteria in urinary tract with
no symptoms, should be treated in pregnancy
What are recurrent UTI's? - Answer -2 or more UTI's in 6mo. or 3 or more in 1 year
What would indicate need for a urine culture in a woman w/ UTI s/s? - Answer -
pregnancy
s/s of upper tract infection(fever, CVAT, flank pain)
recent UTI
recent abx treatment
chronic disease affecting the immune system
What are the circumstances in which inpatient therapy for pyelonephritis is warrented? -
Answer --severe illness
-pregnancy
-immunocompromised
-inability to tolerate PO tx d/t vomiting
-inability to adhere to PO tx or return for f/u d/t age, living situation, or lack of social
support
What factors contribute to urinary incontinence? - Answer -bladder pressure
urethral pressure
aging
neurologic lesion
childbirth
pregnancy
genetic
lifestyle
About how many women seek care for incontinence? - Answer -25%
What are the percentages of affected women? - Answer -Over age 20-17%
over age 60-38%
What is untreated incontinence assoc. with? - Answer -falls, fractures, sleep
disturbances
What is stress incontinence? - Answer -The loss or leaking of urine during exercise,
sneezing, laughing, coughing, or when lifting something heavy.
What is urge incontinence? - Answer -Overactive bladder- the loss of urine as soon as
you feel the urge to go to the bathroom.
What is mixed incontinence? - Answer -*most common* -combination of stress and
urge incontinence
What is functional incontinence? - Answer -Caused by problems that prevent you from
getting to the bathroom in time to avoid an accident (trouble walking from arthritis). I.E.
dimentia, mobility issues
What should we include in our exam of Urinary incontinence? - Answer -History!-a
short screening tool really works
U/A-r/o infection, cancer
paper towel test
bimanual exam-ant. prolapse
voiding diary
What kind of behavior modifications should be managed first? - Answer -The knack
voiding diaries timed voids
fluid: the goldilocks meme
smoking cessation
wt. reduction as needed
What is a cystocele? - Answer -herniation of the bladder into the vagina
When should you refer a gyn patient? - Answer -blood without infection
suspected overflow or neurological issues underlying sensation problems
surgery candidate
What is cystitis? - Answer -*most common type of UTI
Lower urinary tract, bladder and urethra
dysuria, frequency, urgency, possibly hematuria
, usually afebrile
no CVA tenderness/no flank pain
What is Uncomplicated cystitis? - Answer -occurs in healthy unpregnant women.
no recent tx. w/ abx.
no UTI in last 6 mo. (<2 in last 12 mo. )
no decreased immunity d/t other conditions
no s/s of upper tract infection
What is complicated cystitis? - Answer -Previous UTI in last 6 mo.
>/= 2 UTI's in the last 12 mo.
pregnant
recent tx w/ abx.
decreased immune fx. d/t other conditions
s/s of upper tract infection
What is asymptomatic bacteriuria? - Answer -Presence of bacteria in urinary tract with
no symptoms, should be treated in pregnancy
What are recurrent UTI's? - Answer -2 or more UTI's in 6mo. or 3 or more in 1 year
What would indicate need for a urine culture in a woman w/ UTI s/s? - Answer -
pregnancy
s/s of upper tract infection(fever, CVAT, flank pain)
recent UTI
recent abx treatment
chronic disease affecting the immune system
What are the circumstances in which inpatient therapy for pyelonephritis is warrented? -
Answer --severe illness
-pregnancy
-immunocompromised
-inability to tolerate PO tx d/t vomiting
-inability to adhere to PO tx or return for f/u d/t age, living situation, or lack of social
support
What factors contribute to urinary incontinence? - Answer -bladder pressure
urethral pressure
aging
neurologic lesion
childbirth
pregnancy
genetic
lifestyle
