Answer: A - A pregnant patient with sickle cell trait is at increased risk for asymptomatic bacteria. Screening for asymptomatic bacteria in pregnant women with sickle cell trait should be done every trimester.
A pregnant patient with sickle cell trait may be at increased risk for asymptomatic bacteriuria, or bacteria in the urine without any symptoms, due to several factors.
First, the physiological changes that occur during pregnancy, such as an increase in the volume of urine produced and a decrease in bladder capacity, can make it easier for bacteria to grow and thrive in the urinary tract. This can increase the risk of urinary tract infections (UTIs), leading to asymptomatic bacteriuria.
Also, sickle cell trait, an inherited condition resulting in the production of abnormal red blood cells, can cause inflammation and damage to the blood vessels and organs, including the urinary tract. This can increase the risk of UTIs and asymptomatic bacteriuria.
It is essential for pregnant patients with sickle cell trait to be screened for asymptomatic bacteriuria and to receive treatment if it is detected, as it can lead to more severe complications such as pyelonephritis (kidney infection) if left untreated.
