For Soft Bound

Republic of the Philippines
ISABELA STATE UNIVERSITY

City of Ilagan Campus
COLLEGE OF NURSING
In Partial Fulfillment of the Requirements in NUR 312- Related Learning Experience
First Semester, School Year 2022-2023
A CASE STUDY ON
UTI THREATENED ABORTION
Presented to:
The Faculty of College of Nursing
Isabela State University-City of Ilagan Campus
Presented by:
ARIOLA, WINNIE S.
ASTRERO, MIRAZOL
BACANI, ZENAIDA M.
BARASI, SABRINA B.
BARIENTOS, PRINCESS ANGELA L.
BAUA, APRIL SHAINE
CASASOLA, PIOLO ANGELO H.
CASTUERAS, JUSTINE MAE H.
CRISTOBAL, DWINXELLE EIVEN B.
February 3, 2023
TABLE OF CONTENTS
I. Objectives of the Disease Study 1
II. Introduction 2
III. Literature of the Disease 3
IV. Patient’s Profile 5
V. Patient’s History 6
a. Past Medical History
b. Current Medical History
c. Family History
d. Personal Social History
VI. Physical Assessment 7
VII. Gordon’s Functional Health Pattern 11
VIII. Anatomy and Physiology 13
IX. Pathophysiology 18
X. Laboratory and Diagnostics Tests 19
XI. Drug Study 25
XII. Nursing Care Plan 30
XIII. Discharge Plans 36
XIV. References 37
XV. Group’s Profile 39

City of Ilagan Campus, Isabela
COLLEGE OF NURSING
I. Objectives of the Disease Study
During the student's clinical duty in the Medical Surgical Ward in

Callang General Hospital and Medical Center at Santiago, Isabela, from
October 15-16, 2022, the students have chosen one patient for the case study.
It was the case of patient M who had a condition diagnosed as Urinary Tract
Infection threatening abortion. The students decided on this case study to
expand their knowledge about UTI and improve their critical thinking skills in
assessing the case and decision-making in determining appropriate nursing
interventions.
Specific Objectives:
❖ Provide an accurate general patient assessment, including physical

examination and history taking
❖ Recognize the factors and variables that contributed to the formation of
the diagnosis
❖ Understand the function of pharmacological treatment in patient
management in relation to the diagnosis
❖ Provide proper nursing diagnosis in accordance with the patient's
medical state, as well as develop nursing care plans for the problems
detected
❖ Apply the nursing interventions essential for the patient's health
condition in accordance with illness theories and ideas studied.
II. Introduction
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One of a woman's special milestones is when they have to carry a life, they
can call their own. This is why it is essential to take precautions against the risks,
hazards, and diseases that may come during their pregnancies to avoid future
complications in their infant
One of the most common infections during pregnancy is UTI or Urinary Tract
Infection. UTIs are the most common bacterial infection that women develop
during pregnancy in women who are in their first trimester. Urinary Tract
Infection is an infection when bacteria enter the skin, rectum, urethra, kidneys,
and other parts of the urinary tract system.
And due to the changes, some women forget to take precautions about the
food and liquid substances they take, and some live differently, wherein their
sanitation and hygiene are different. Changes in the urinary tract and immunologic
changes of pregnancy predispose women to urinary tract infections. Physiologic
changes of the urinary tract include dilation of the ureter and renal calyces.
Vesicoureteral reflux may be seen. These changes increase the risk of urinary tract
infections. The changes in hormones cause vesicoureteral reflux, which is a state
in which the urine flows back from the gall bladder to the kidney. (Todd N, 2022,
Web MD).
UTIs are very common during pregnancy and are best treated early. This
study will help everyone discover the causes and preventive ways to avoid them
since it is common in pregnant women. This is beneficial as it also helps to
decrease cases of this kind of infection. We aim to maintain a safe pregnancy and
healthy baby as one reaches a new milestone.
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III. Literature of the disease
Urinary tract infections (UTI) continue to be one of the most common

medical conditions complicating pregnancy, with a prevalence of approximately
20%. A UTI is diagnosed when there is an overgrowth of bacteria in the urinary
tract (≥105 counts/mL of urine), irrespective of the presence of clinical symptoms.
UTI include a spectrum of disorders, ranging from those affecting the lower
urinary tract, like asymptomatic bacteriuria (ASB) and cystitis, to those affecting
the kidney, such as pyelonephritis. The prevalence of ASB is 2% to 10% of cases.
Clinical trials in the 1960s and 1970s reported that untreated ASB had a 20% to
30% risk of progressing into pyelonephritis. Early diagnosis and adequate
treatment with antibiotics helped reduce the risk by 80%.
Overall, females are more likely to develop a UTI than males, with 40–
60% of females developing an infection at least once in their life and 10% of
females developing a UTI once a year. Females are at a higher risk than males
because their urethra is shorter, which makes it easier for bacteria to enter the
bladder. Organisms causing UTI in women (whether pregnant or not) are of the
same species and virulence factors. Bacteria commonly isolated
include Escherichia coli, Klebsiella pneumonia, Proteus,
Acinetobacter, Staphylococcus saprophyticus, Group B Streptococcus (GBS),
and Pseudomonas aeruginosa.
CLASSIFICATION OF UTI
Urinary tract infections in pregnancy are classified as symptomatic and asymptomatic

bacteriuria. Asymptomatic bacteriuria is defined as true bacteriuria (>100,000/ml) in the
absence of specific symptoms of acute urinary tract infections. Symptomatic bacteriuria is
divided into lower tract (cystitis) and upper tract (pyelonephritis) infections.
● Asymptomatic Bacteriuria – Asymptomatic bacteriuria (ASB) is bacterial urinary

tract infection that occurs without any symptoms. Were 20-30% of pregnant women
with untreated asymptomatic bacteriuria may develop symptomatic UTI, such as
cystitis or pyelonephritis. These UTIs represent a significant risk to both mother and
baby.
● Urethritis – is the infection of urethra with bacteria, protozoa, viruses, or fungi. This
occurs when organisms gain an access to it periurethral glands in the bulbous and
pendulous portions of the male urethra and in the entire female urethra.
● Cystitis – is the infection of bladder. It is more common in women, in whom cases of

uncomplicated cystitis are usually preceded by sexual intercourse. It is also defined as
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significant bacteriuria with associated bladder mucosal invasion and is distinguish

from asymptomatic bacteriuria by the presence of symptoms.
● Pyelonephritis – It can progress to maternal sepsis, preterm labor and premature

delivery. Symptoms include flank or renal angle pain, pyrexia, rigor, chills, nausea,
vomiting and hip pain. Symptoms of lower tract infection such as frequency and lack
or urination, may or may not be present.
SIGNS AND SYMPTOMS OF UTI DURING PREGNANCY
What are the symptoms of UTIs during pregnancy?
Common symptoms of a UTI during pregnancy are similar to those that you might experience
at any other time, and include:
● A burning sensation when you pass urine

● Feeling the urge to urinate more often than usual
● Urinating before you reach the toilet (‘leaking’ or incontinence)
● Feeling like your bladder is full, even after you have urinated
● Urine that looks cloudy, bloody or is very smelly
● Pain above the pubic bone
● Fever
What are the common causes of UTIs?
Your urinary tract is normally free of bacteria. If bacteria enter the tract and multiply, they
can cause a UTI. There are several factors that increase the risk of developing an infection:
● Infection with common bacteria in your gut, usually from faeces (poo) can
contaminate your urinary tract
● Being sexually active increases, the risk of bacteria moving around the genital area
and entering the urinary tract
● If you have weak pelvic floor muscles your bladder may not empty completely, which
can lead to an infection
● Women with diabetes are at increased risk of developing a UTI since the sugar in
their urine may cause bacteria to multiply
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IV. Patient’s Profile
Callang General Hospital and Medical Center, Inc

Judge Taguinod St. Centro East, Santiago City
Name: Patient M Case Number: ***58

Age: 24 Hospital Number: 22-2058
Address: Santiago Isabela Ward/ Room: OB3 Ward
Sex: Female Religion: Roman Catholic
Doctor In charge: Dr. K
Admitting information:
The patient was admitted on October 15, 2022
Chief Complaint: Hypogastric pain
AOG: G2 P1 (1001), 12 weeks,6 days via LMP
Admitting diagnosis: UTI threatened abortion
Monitored as VS Q4
Admitting Vital signs:

BP: 100/70 mmHg
Pulse Rate: 125 bpm
Respiratory Rate: 24 bpm
Temperature: 38.5
Oxygen Saturation: 94%
Weight: 82.5 kg
Height: 148 cm
LMP: July 17, 2022

EDC: April 23, 2023
AOG: 12 week, 6 days
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V. Patient’s History
Patient M, a 24-year-old female, is currently diagnosed with Urinary Tract Infection

threatened abortion at Callang Medical and General Hospital in Santiago, Isabela. The history
taking of the patient goes like this.
Past Medical History
According to Patient M, she has a previous hospitalization in which she delivered her
firstborn child. In her medical history, there is no evidence of any chronic diseases and
illness, no previous operations, no blood transfusion, and no previous accident and injuries
experienced by patient M.
Current Medical History or the History of Present illness
GI-11.26.17, Baby Girl, NSD. A few hours PTA noted acute onset hypogastric pain,
cramping in character: symptom persisted hence consultation and admission. (+) bleeding,
discharge. (-) Smoking, Alcohol.
Pertinent Sign and Symptom on Admission: The received patient is febrile, awake, and alert,
with abdominal cramps/pain as observed.
Family History
According to Patient M., she verbalized that her family has a history of Hypertension
on her Father's side. That is the only data that she shared. Therefore, there's no arthritis, no
lung disease, no diabetes, no cancer, no heart disease, no alcoholism, no stroke, and no
mental health disorders.
Personal Social History
Patient M stated that she is a Housewife with No vices like Smoker and Alcohol
drinking.
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VI. Physical Assessment
PHYSICAL ASSESSMENT (HEAD TO TOE)

October 17, 2022
Head to Toe
Actual Findings Normal Findings Interpretation
Assessment
VITAL SIGNS
● Temperature: ● Temperature: ● (+) Fever due to an

38.5 °C 36.5 to 37.5 °C infection.
● In pain, due to
● BP: 100/70 ● BP: 120/80
inflammation of the
● RR: 24 bpm` ● RR: 12 to 20 bpm bladder.
● PR: 125 bpm ● PR: 60 to 120
bpm
Vital Signs ● Oxygen
Saturation: ● Oxygen
94% Saturation: 95 to
100%
● Height: 148
cm
● Weight: 82.5
kg
RESPIRATORY SYSTEM
Mouth ● Complete teeth ● Complete teeth ● Lips is dry, tongue

is red, and dry &
● Lips is dry ● Lips is soft and
rough tongue due to
moist
● Gum is pink an increase in body
● Gum is pink temperature.
● Tongue is red
● Tonsil is pink
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at the middle ● Tongue is pink
● Dry and rough ● Tonsil is pink at

tongue the middle
● Dry tongue ● Moist and

base slightly rough
tongue
● Smooth tongue
base
● Symmetrical ● Symmetrical
● No discharges ● No discharges
● Nasal flaring ● No nasal flaring

● No
● Not tender ● Not tender
Nose and Sinuses complications/Norm
● No lesions ● No lesions al
● Pink mucosa ● Pink mucosa
● Sinuses are not ● Sinuses are not

tender tender
● Uniform in ● Generally,
● No
color uniform in color
Throat and Neck complications/Norm
● No palpable ● No palpable
al
lymph nodes lymph nodes
INTEGUMENTARY SYSTEM
Skin ● Light Brown ● Skin color ranges ● Skin is dry, very

and uniform in from pale white warm to touch, and
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color with pink,

yellow, brown, or
● No foul odor
olive tones to
● No masses and dark brown or
lesions black.
● No wounds ● No strong odor have a slightly
laceration should be evident decrease in skin
● Skin is dry turgor due to an

● Skin should be
increase in body
● No rashes lesion free
temperature.
● Very warm to ● Skin should be
touch soft, warm and
slightly moist
● Slightly
with good turgor.
decrease in
skin turgor
● Uneven ● Unevenly
distribution distribution
● No scalp ● Fine to course

lesions
● Absence of ● No
Hair ● No masses or infestation Complications/Nor
lesions mal
● No masses
● Fine to course
● No lesions
● Absence of
infestation
Nail ● Pinkish nail ● Nail bed is pink ● No

bed Complications/Nor
● Concave shape
mal
● Concave shape
● Capillary refill
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● Color of the backs within 1-2

nail bed back seconds
to original
● Smooth to touch
color in less
than 3 seconds
● Smooth to
touch
● Asymmetrical ● Symmetrical ● There is an

Breast breast asymmetry in the
breast, have
● Symmetrical ● Symmetrical
tenderness, there is
axilla axilla
a swollen lymph
● Have ● No tenderness nodes in the axilla,
tenderness because of
● No secretion hormonal changes
● No secretion
during pregnancy
Breast and Axilla ● There is
● No swollen and body's
swollen lymph
lymph nodes. preparation for
nodes in the
● Nipples and breastfeeding, and
axilla.
areolas can range nipples & areola is
● Nipples and dark in color,
from pale pink to
Areola is dark because it is a result
a deep brown
in color. of hormones that
affect skin
pigmentation.
CARDIOVASCULAR SYSTEM
Cardiovascular ● Normal Rate, ● Normal Rate, ● No

regular heart regular heart complications/Norm
rhythm rhythm al
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● No murmurs ● No murmurs
NERVOUS SYSTEM
● Round and ● Rounded

symmetrical
● Symmetrical
● Normal Size
● Normocephalic
● Hard and
● Upright ● No
Head smooth
complications/Norm
● Smooth
● No lesions al
● Not tender
● No lesions or
masses
● No Jaundice ● No Jaundice
● Pink ● Pink
Conjunctivae Conjunctivae
● PERRLA ● Pupils equal, ● No

Eyes Round, Reactive complications/Norm
● Sclera white
to Light, and al
● No edema Accommodation
● White Sclera
● No edema
Ears ● Symmetrical ● Symmetrical ● No

complications/Norm
● Color same as ● Color should be
al
facial skin same as facial
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● No lesions skin
● Firm and not ● No lesions

tender
● Firm and not
tender
ENDOCRINE SYSTEM
● Upon ● No palpable ● It is an early

palpation, lymph nodes pregnancy sign, and
there is a it is a special tissue
swollen lymph (located anywhere
Lymph Nodes
nodes in the between the armpit
armpit. and the groin) that is
preparing to
produce milk.
DIGESTIVE SYSTEM
Abdomen ● NABS ● Symmetric ● There is hypogastric

contour pain due to an
● Rounded
inflammation of the
● Rounded or
● Abdominal bladder, and there is
protuberant
tenderness a presence of
abdomen
● Hypogastric Stretch marks
● Absence of because of the
pain
lesions and hormonal changes
● There is a tenderness that occur during
presence of
pregnancy - the
Stretch Marks
hormones can soften
the natural skin
fibers, making it
more prone to
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stretch marks.
CIRCULATORY SYSTEM
● Positive ● No bleeding ● Positive bleeding

Bleeding due to the bacteria
that infects the
lining of the urinary
tract and this will
Hematological
lead to
inflammation and
irritation causing
RBC to leak into the
urine.
MUSCULAR SYSTEM
● No fractures ● No fractures and

and dislocations
dislocations
● No tenderness
noted
and swelling ● No
Musculoskeletal ● No tenderness Complications/Nor
● 10 fingers and
and swelling mal
toes
● 10 fingers and
● Mobile
toes noted
● Mobile
VII. Gordons
11 Gordon’s Functional Health Pattern
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11 Gordon’s Before Hospitalization During Hospitalization

Functional health
patterns
Health perception/ Patient stated she has no vices, except The patient has a
Health for her husband who is working as a willingness to accept and
Management construction worker- (+ drinking). listen to every health
She visits their barangay healthcare teaching.
department for a check-up.
Nutritional/ Patient stated that she considers her

The patient is under DAT
Metabolic family healthy. They eat three times a
(Diet as Tolerated). She ate
day, they usually eat vegetables, pork
the food given by/or served
and chicken. in the hospital. And she
also drinks 6-7 glasses a
The patient weighs 85kg. She drinks day.
2L of water every day but she also
drinks coffee and soft drinks.
Elimination The patient stated she and her family The patients usually void 3-
have a regular bowel pattern, and 4 times a day and she
normal and appropriate urine output defecate 1-2 times a day.
according to their fluid intake. The
patient stated she urinates 8-10 times
a day, starting when she was
pregnant. But according to her, she
started experiencing burning and
difficulty peeing ever since her 1st
trimester began.
Activity-Exercise The patient mentioned she has no During her hospitalization,

workout or exercise, except for walking has served as her
cleaning the house, as an activity. exercise.
Cognitive- The patient stated that they mentally The patient is oriented to
Perceptual well, and they have had no problems time and place.
lately.
Sleep-rest The patient and her family sleeps at The patient sleeps at 9:00
9:00 pm, and she wakes up at 5:00 pm
am, while her husband wakes up at And she wakes up at 5:00
7:00 am, and her daughter wakes up am.
at 9-10 in the morning. The patient's sleep is
interrupted due to
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discomfort and getting vital

signs.
Self-Perception/ She mentioned that she labeled The patient stated that
self-concept herself as a stable and blessed person being admitted will be
because of her family and relatives. helpful in alleviating her
condition.
Role-Relationship She is a daughter, wife and a mother. The patient is well

She cooks food for her family and supported by her husband.
cleans the house. She serves her
husband and takes care of her
daughter. She clearly stated that she
knows her role and responsibilities.
Especially now that she is having her
second child.
Sexuality- The patient did not mention any The patient did not mention
reproductive information regarding this area. any information regarding
this area.
Coping/ stress The patient’s coping mechanism, she The patient’s coping
tolerance scrolls through her social media and mechanism is to scroll on
watches different videos on Facebook her social media, watch
and TikTok. She also cleans the different videos, and she
house, and manages her own also sleeps.
plants/plantitas. One of her coping
mechanisms too, is to play with her
daughter.
Value-Belief The religion of the Patient and Her The patient has a strong
family is Roman Catholic, they pray belief in God.
before and after meals and they visit
the church every Sunday, but she
mentioned that lately they aren’t able
to have a mass since she is pregnant.
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VIII. Anatomy And Physiology of The Affected Organ/System
Anatomy of the Urinary System
The urinary system consists of two kidneys, two ureters, a urinary bladder, and a urethra. The
kidneys alone perform the functions just described and manufacture urine in the process,
while the other organs of the urinary system provide temporary storage reservoirs for urine or
serve as transportation channels to carry it from one body region to another.
The function of the kidneys are as follows:
1. Filter
2. Waste processing
3. Elimination
4. Regulation
5. Other regulatory functions.
6. Conversion
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The Kidneys
The kidneys, which maintain the purity and constancy of our internal fluids, are perfect
examples of homeostatic organs.
● Location. These small, dark red organs with a kidney-bean shape lie against the dorsal
body wall in a retroperitoneal position in the superior lumbar region; they extend
from the T12 to the L3 vertebra.
● Positioning. Right kidney is positioned slightly lower than the left.
● Size. An adult kidney is about 12 cm (5 inches) long, 6 cm (2.5 inches) wide, and 3
cm (1 inch) thick.
Main Sections
1. Cortex- Outer section of the kidney, it contains the majority of nephrons

Nephrons- microscopic filtering units, these filtering units composed of the
following structures:
- Glomerulus
- Bowman’s capsule
- Proximal Convoluted Tubule
- Distal Convoluted tubule
- Collecting Duct
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2. Medulla- intersection of the kidney. It contains most of the collecting tubules.

● Ureters- are too muscular tubes approximately 10-12 inches long and extending from
the renal pelvis of each kidney to the bladder.
● Bladder- hallow sack much like the stomach lined by series of folds called “rugae”-
the purpose of these folds allows the bladder to expand as urine is collected.
● Urethra tube- Leading from the bladder. Its job is to carry the urine from the bladder
to the outside of the body.
● Urethra meatus- The last structure in the urinary pathway of purging toxins from the
body is the external opening to the external opening to the urethra.
Physiology of the Urinary System
Characteristics of Urine
In 24 hours, the marvelously complex kidneys filter some 150 to 180 liters of blood plasma
through their glomeruli into the tubules.
● Daily volume. In 24 hours, only about 1.0 to 1.8 liters of urine are produced.
● Components. Urine contains nitrogenous wastes and unneeded substances.
● Color. Freshly voided urine is generally clear and pale to deep yellow.
● Odor. When formed, urine is sterile and slightly aromatic, but if allowed to stand, it
takes on an ammonia odor caused by the action of bacteria on the urine solutes.
● pH. Urine pH is usually slightly acidic (around 6), but changes in body metabolism
and certain foods may cause it to be much more acidic or basic.
● Specific gravity. Whereas the specific gravity of pure water is 1.0, the specific gravity
of urine usually ranges from 1.001 to 1.035.
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● Solutes. Solutes normally found in urine include sodium and potassium ions, urea, uric
acid, creatinine, ammonia, bicarbonate ions, and various other ions.
Micturition
Micturition or voiding is the act of emptying the bladder.
● Accumulation. Ordinarily, the bladder continues to collect urine until about 200 ml

have accumulated.
● Activation. At about this point, stretching of the bladder wall activates stretch
receptors.
● Transmission. Impulses transmitted to the sacral region of the spinal cord and then
back to the bladder via the pelvic splanchnic nerves cause the bladder to go into reflex
contractions.
● Passage. As the contractions become stronger, stored urine is forced past the internal
urethral sphincter into the upper part of the urethra.
● External sphincter. Because the lower external sphincter is skeletal muscle and
voluntarily controlled, we can choose to keep it closed or it can be relaxed so that urine
is flushed from the body.
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External and internal genitalia typically comprise the female genital tract. The external
genitalia include:
● Mons pubis: A rounded mass of fatty tissue lying over the joint of pubic bones.
● Labia majora: Two cutaneous folds extend from the mons pubis down to the perineum.
● Labia minora: The region of the female genital tract buried inside the labia majora.
● Bartholin gland: These are like bulbourethral glands in men and pour lubrication right at
the entry of the vagina.
● Clitoris: The vagina's pea-sized, most heavily innervated organ that detects sensation and
stimulation.
● Vulva: The collective term for women's external genitalia.
The female reproductive system's internal genitalia include:
● Ovaries: Female reproductive organs which produce all the ova (eggs) during a normal
menstrual cycle.
● Fallopian tubes: Also known as uterine tubes, these are responsible for the transportation
of ova from the ovaries to the uterus. They are clinically important in abortion because
they are the most common site of ectopic pregnancy (pregnancy outside the uterus).
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IX. Pathophysiology
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IX. Laboratory And Diagnostics
HEMATOLOGY Date: October 15, 2022
EXAMINATION RESULTS REFERENCE VALUE INTERPRETATION
Hematocrit Male - 40.0-54.0%
Hemoglobin Male - 13.0-18.0g/dl
Hematocrit Female 37.2 27.0-47.0% Normal
Hemoglobin Female 12.3 11.0-16.00 g/DL Normal
WB Count (white blood 11.23 (H) 5.0-10.0x10^g/L Abnormal due to:

cells count) ● An infection.
● Reaction to a medicine
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Neutrophil 61.7 50.0-65.0% Normal
Lymphocyte 23.8 25.0-35.0% Normal
Eosinophils 9.4 3.0-5.0% Abnormal which indicates a mild condition
Basophils 0.7 0.1-1.0% Normal
Monocytes 4.4 3.0-5.0% Normal
Stabs 3.0-5.0%
Platelet Count 356 150-400x10^g/L Normal
RBC Count 4.38 4.0-4.5/10^12/L Normal
MCV 84.9 80.0-110.0 fl Normal
MCH 28.0 26.0-38.0 pg Normal
MCHC 33.0 31.0-37.0 g/dl Normal
Reticulocyte Count - 5.0-15.0x10^311
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Erythrocyte - 0.0-10.0mm/hr
Sedimentation Rate (ESR)
Male
Erythrocyte - 0.0-20.0mm/hr
Sedimentation Rate (ESR)
Female
Prothrombin Time - 10.0-14.0 sec
% Activity - 70.0-120%
INR - 0.0-1.2
A.P.I.T - 25.0-37.0sec
Radio - 0.0-1.2
Blood type O RH Positive -
Clotting time 3.0 -6.0 min -
Bleeding time 2.0-4.0 min -
Urinalysis Test Date: October 15, 2022
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MICROSCOPIC RESULTS REFERENCE VALUE INTERPRETATION

EXAMINATION
Color Yellow Slightly yellow/Clear Normal
Transparency Slightly turbid Clear Abnormal due to infection
Ph/ reaction 6.5 7 is Neutral Abnormal. It is acidic. The most common cause of elevated urine PH
4.5- 8 Ph is normal Range levels is an infection in the urinary tract
Specific gravity 1.015 1.005- 1.030 Normal
Red blood cells 5 hpf 4 or less hpf Abnormal may be due to an infection
Pus cells 5-6 hpf 0-5 hpf Abnormal. The presence of higher-than-normal count of pus cells in the
urine suggests bacterial infections, which is mostly diagnosed as UTI
Epithelial cells Few 1-5 hpf Abnormal due urinary tract infection (UTI)
Amorphous materials Many None Abnormal due to the Ph (acidity) of urine, combination factors such as
decreased urine volume
Mucus threads Few Small Abnormal due to a UTI
Bacteria Many Absent Abnormal, finding bacteria in the urine can mean there is an infection
somewhere in the urinary tract
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Date: October 15, 2022
TEST RESULT INTERPRETATION
HBsAG Test NON-REACTIVE No hepatitis B surface antigen was found.
Rapid Plasma Reagin NON-REACTIVE No antibodies to syphilis found in the blood sample.
SARS-COVID RAT NEGATIVE SARS-CoV-2 virus was not detected
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RADIOLOGY REPORT: KUB ULTRASOUND

(KIDNEY-URETHER-BLADDER ULTRASOUND)
Referring MD- DR.C. G K
-NORMAL SIZE
-10.6x6.2 V5 cm with cortical thickness of 0.8 cm
-LF: 11.4x5.8x5.9 CT of 0.9 CM
-No evident oh hydronephrosis
-No masses or lithiasis are detected.
-urinary bladder is partially filled, no luminal echoes are seen.
-Incidental note of gall bladder stone measuring 1.4 cm and polyps measuring 0.3-0.9 cm.
Impression:
● Unremarkable sonogram of the kidney and urinary bladder.
● Incidental note of gall bladder stone measuring 1.4 cm and polyps measuring 0.3-0.9
cm.
RADIOLOGY REPORT: TRANSVAGIINAL ULTRASOUND

Referring MD- DR.C. G K
-Cervix measures -3.9x3.3 x2.5 cm with Tiny Cyst

-The right ovary 2.2x2.2cm-left ovary is not visualized. There are no masses in the Adnexal.
Impression:
● Single live intrauterine pregnancy with component, age of gestation of 12 weeks and
2 days, based on CR length measurement.
● Minimal subchrorionic hemorrhage
● Tiny Nabothian cyst
● Unremarkable ultrasound of the right ovary and adnexa
24 | Page
COLLEGE OF NURSING
X. Pharmacologic Management/ Drug Study
25 | Page
COLLEGE OF NURSING
26 | Page
COLLEGE OF NURSING
27 | Page
COLLEGE OF NURSING
28 | Page
COLLEGE OF NURSING
29 | Page
COLLEGE OF NURSING
a. NURSING CARE PLAN (5)
30 | Page
COLLEGE OF NURSING
31 | Page
COLLEGE OF NURSING
32 | Page
COLLEGE OF NURSING
33 | Page
COLLEGE OF NURSING
34 | Page
COLLEGE OF NURSING
35 | Page
COLLEGE OF NURSING
XI. DISCHARGE
XIII. Discharge PlansPLANS
Medications ● Continue taking medications prescribed by the physician
Exercise/Economic Factor ● The client should maintain regular exercise by doing simple
activities suited for the age.
Treatment ● The client should maintain required treatment or therapy
Health teaching ● The client should know things that will aggravate the condition,
and be able to avoid things that may worsen or bring forth again
a complication
● Beverages such as coffee, tea, colas, alcohol, and other contribute

to UTI
● Instruct the female patient to wash the perineal area from front to
back and wear only cotton underwear.
Outpatient follow-up ● Regular check-up as scheduled on her physician
Diet ● The client should eat 3 times a day with balanced diet
● Increase and fluid intake is the number one intervention that

could stop UTI from recurring.
Evaluation
Expected outcomes may include:
- Experiences relief of pain
- Explains UTI and their treatment
- Experience no complications.
36 | Page
COLLEGE OF NURSING
XII.References
XIV. REFERENCES
Barlett, J. &. (2011). Nurse's Drug Handbook (Tenth Edition). Malloy, Inc. Retrieved
from file:///C:/Users/ADMIN/Downloads/Nurse_s%20Drug%20Handbook
%20,%2010E.pdf
Dr. Shreya Gupta MDS (Oral Pathology & Microbiology), B. (2022, October 31).
Duphaston 10mg Tablet. Retrieved from India's Largest Healthcare Platform:
https://www.1mg.com/drugs/duphaston-10mg-tablet-304755
Garcia, E. R. (2021, April 27). A Drug Study onDUPHASTON. Retrieved from

https://www.coursehero.com/file/139538049/DUPHASTON-DRUG-
STUDYdocx/
Judith Hopfer Deglin, P. a. (n.d.). Davis's Drug Guide for Nurses (Fourth Edition).
F.A. DAVIS COMPANY, Philadelphia, Pennsylvania.
Linda Skidmore - Roth, R. M. (2021). Nursing Drug Reference (34th Edition).

ELSEVIER. Retrieved from file:///C:/Users/ADMIN/Downloads/Linda
%20Skidmore-Roth%20-%20Mosby_s%202021%20Nursing%20Drug
%20Reference-Mosby,%20Elsevier%20(2021).pdf
n/a. (n.d.). Retrieved from

https://www1.ndmctsgh.edu.tw/pharm/pic/medinsert/005DUP05E.pdf
n/a. (n.d.). Dextrose 5% in Lactated Ringer's Injection. Retrieved from

https://www.coursehero.com/file/103486414/D5LR-DRUG-STUDYdocx/
Robert J. Kizior, B. R. (2016). Saunders Nursing Drug Handbook. Elsevier Inc.

Retrieved from file:///C:/Users/ADMIN/Downloads/a78b92e5-18ce-4257-
83f5-b115fbb8fdb3.pdf
Robert J. Kizior, B. R. (2021). Saunders Nursing Drug Handbook. Retrieved from

file:///C:/Users/ADMIN/Downloads/Robert%20J.%20Kizior,%20Keith
37 | Page
COLLEGE OF NURSING
%20Hodgson%20-%20Saunders%20Nursing%20Drug%20Handbook
%202021-Saunders,%20Elsevier%20(2021).pdf
Schull, P. D. (n.d.). McGraw-Hill Nurse's Drug Handbook (Seventh Edition).

Retrieved from file:///C:/Users/ADMIN/Downloads/Nurses%20Drug
%20Handbook%207E%20UnitedVRG.pdf
Xtinego. (2012, November 16). Drug Study: Cefuroxime. Retrieved from SCRIBD:
https://www.scribd.com/document/113465517/Drug-Study-Cefuroxime
Schull, P. D. (n.d.). McGraw-Hill Nurse's Drug Handbook (Seventh Edition).

Retrieved from file:///C:/Users/ADMIN/Downloads/Nurses%20Drug
%20Handbook%207E%20UnitedVRG.pdf
Xtinego. (2012, November 16). Drug Study: Cefuroxime. Retrieved from SCRIBD:
https://www.scribd.com/document/113465517/Drug-Study-Cefuroxime
38 | Page
COLLEGE OF NURSING
XV. Group’s Profile
PERSONAL BACKGROUND
Name: Winnie S. Ariola
Date of Birth: February 22,2002
Place of Birth: City of Ilagan, Isabela
Civil Status: Single
EDUCATIONAL BACKGROUND
SCHOOL PLACE
Isabela State University- Calamagui 2nd, City of Ilagan, College
Ilagan Campus Isabela
San Rafael National and Cab 17-21, City of Ilagan, Secondary Level (Senior)
Vocational High School Isabela
San Rafael National and Cab 17-21, City of Ilagan, Secondary Level (Junior)
Vocational High School Isabela
Capugotan Elementary School Cab 9-11, City of Ilagan, Primary Level
Isabela
39 | Page
COLLEGE OF NURSING
PERSONAL BACKGROUND
Name: Mirazol G. Astrero
Date of Birth: August 5, 2001
SCHOOL PLACE
Naguilian National High Magsaysay, Naguilian, Isabela Secondary Level (Senior)
School
Naguilian National High Magsaysay, Naguilian, Isabela Secondary Level (Junior)
School
Naguilian Central School Naguilian, Isabela Primary Level
40 | Page
COLLEGE OF NURSING
PERSONAL BACKGROUND
Name: Zenaida M. Bacani

Date of Birth: June 9, 2001
Place of Birth: Naguilian Sur, City of Ilagan, Isabela
SCHOOL PLACE
Isabela School of Arts and Calamagui 2nd, City of Ilagan, Secondary Level (Senior)
Trades Isabela
High Ilagan West National Naguilian Sur, City of Ilagan, Secondary Level (Junior)
School Isabela
Naguilian Baculud Elementary Naguilian Baculud, City of Primary Level
School Ilagan, Isabela
PERSONAL BACKGROUND
41 | Page
COLLEGE OF NURSING
Name: Sabrina B. Barasi
Date of Birth: September 27, 2001
SCHOOL PLACE
Isabela National High School - Claravall St., San Vicente, Secondary Level (Senior)
SHS City of Ilagan, Isabela
Isabela National High School - Claravall St., San Vicente, Secondary Level (Junior)
JHS City of Ilagan, Isabela
Ilagan East Integrated Sped Mabini St, City of Ilagan, Primary Level
Center Isabela
PERSONAL BACKGROUND
42 | Page
COLLEGE OF NURSING
Name: Princess Angela L. Barientos
Date of Birth: February 3. 2002
Place of Birth: New Cuyo, Roxas, Palawan
SCHOOL PLACE
Roxas National High School Bantug, Roxas, Isabela Secondary Level (Senior)
Burgos National High School Caliguian, Burgos, Isabela Secondary Level (Junior)
Burgos Central School Caliguian, Burgos, Isabela Primary Level
PERSONAL BACKGROUND
Name: April Shane V. Baua
43 | Page
COLLEGE OF NURSING
Date of Birth: April 10, 2002
Place of Birth: Balug, Tumauini, Isabela
SCHOOL PLACE
Advance Montessori Maligaya, Tumaini, Isabela Secondary Level (Senior)
Education Center of Isabela
Inc.
Advance Montessori Maligaya, Tumaini, Isabela Secondary Level (Junior)
Education Center of Isabela
Inc.
Tumauini North Central San Pedro, Tumaini, Isabela Primary Level
School
PERSONAL BACKGROUND
Name: Piolo Angelo H. Casasola
Date of Birth: November 14, 2001
44 | Page
COLLEGE OF NURSING
SCHOOL PLACE
Saint Ferdinand College Bagumbayan, City of Ilagan, Secondary Level (Senior)
Isabela
Isabela National High School - Claravall St., San Vicente, Secondary Level (Junior)
JHS City of Ilagan, Isabela
Sta. Isabel Sur Elementary Sta. Isabel Sur, City of Ilagan, Primary Level
Isabela
45 | Page
COLLEGE OF NURSING
PERSONAL BACKGROUND
Name: Justine Mae H. Castueras

Date of Birth: August 18, 2001
Place of Birth: Delfin Albano, Isabela
SCHOOL PLACE
Delfin Albano Magsaysay Delfin Albano, Isabela Secondary Level (Senior)
Stand Alone Senior High
School
Aneg National High School Aneg Delfin Albano, Isabela Secondary Level (Junior)
Aneg Elementary School Aneg Delfin Albano, Isabela Primary Level
PERSONAL BACKGROUND
46 | Page
COLLEGE OF NURSING
Name: Dwinxelle Eiven B. Cristobal

Date of Birth: November 30, 2001
SCHOOL PLACE
Naguilian National High Magsaysay, Naguilian, Isabela Secondary Level (Senior)
School
Benito Soliven National High Dist II, Benito Soliven, Isabela Secondary Level (Junior)
School
Benito Soliven Central School Benito Soliven, Isabela Primary Level
47 | Page

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Republic of the Philippines

ISABELA STATE UNIVERSITY

In Partial Fulfillment of the Requirements in NUR 312- Related Learning Experience

First Semester, School Year 2022-2023

UTI THREATENED ABORTION

The Faculty of College of Nursing

Isabela State University-City of Ilagan Campus

I. Objectives of the Disease Study 1

III. Literature of the Disease 3

IV. Patient’s Profile 5

a. Past Medical History

b. Current Medical History

d. Personal Social History

VI. Physical Assessment 7

VII. Gordon’s Functional Health Pattern 11

VIII. Anatomy and Physiology 13

X. Laboratory and Diagnostics Tests 19

XI. Drug Study 25

XII. Nursing Care Plan 30

XIII. Discharge Plans 36

XV. Group’s Profile 39

I. Objectives of the Disease Study

During the student's clinical duty in the Medical Surgical Ward in

❖ Provide an accurate general patient assessment, including physical

III. Literature of the disease

Urinary tract infections (UTI) continue to be one of the most common

Urinary tract infections in pregnancy are classified as symptomatic and asymptomatic

● Asymptomatic Bacteriuria – Asymptomatic bacteriuria (ASB) is bacterial urinary

● Cystitis – is the infection of bladder. It is more common in women, in whom cases of

significant bacteriuria with associated bladder mucosal invasion and is distinguish

● Pyelonephritis – It can progress to maternal sepsis, preterm labor and premature

SIGNS AND SYMPTOMS OF UTI DURING PREGNANCY

What are the symptoms of UTIs during pregnancy?

● A burning sensation when you pass urine

What are the common causes of UTIs?

IV. Patient’s Profile

Callang General Hospital and Medical Center, Inc

Name: Patient M Case Number: ***58

Admitting Vital signs:

LMP: July 17, 2022

Patient M, a 24-year-old female, is currently diagnosed with Urinary Tract Infection

Past Medical History

Current Medical History or the History of Present illness

Personal Social History

VI. Physical Assessment

PHYSICAL ASSESSMENT (HEAD TO TOE)

● Temperature: ● Temperature: ● (+) Fever due to an

Mouth ● Complete teeth ● Complete teeth ● Lips is dry, tongue

at the middle ● Tongue is pink

● Dry and rough ● Tonsil is pink at

● Dry tongue ● Moist and

● Nasal flaring ● No nasal flaring

● Pink mucosa ● Pink mucosa

● Sinuses are not ● Sinuses are not

Skin ● Light Brown ● Skin color ranges ● Skin is dry, very

color with pink,

● Skin is dry turgor due to an

● No scalp ● Fine to course

Nail ● Pinkish nail ● Nail bed is pink ● No

● Color of the backs within 1-2

● Asymmetrical ● Symmetrical ● There is an

Cardiovascular ● Normal Rate, ● Normal Rate, ● No