Which medical history factor may increase the risk for altered urinary elimination?

Multiple pregnancies can increase the risk for altered urinary elimination due to various physiological changes that occur in the body during and after pregnancy. During pregnancy, the uterus expands significantly, which can place pressure on the bladder. This pressure can lead to increased frequency of urination or even incontinence. Moreover, hormonal changes that accompany multiple pregnancies may further affect bladder control and function.

After childbirth, especially with multiple pregnancies, women might experience pelvic floor weakening, which can contribute to changes in urinary elimination patterns. The stress that the pelvic support structures undergo can lead to conditions such as urinary incontinence or urgency, making this factor particularly relevant in discussions of urinary health.

In contrast, recent surgery might impact urinary elimination temporarily, but it doesn't inherently alter the underlying physiology as multiple pregnancies might. A high physical activity level typically promotes bladder health and does not usually lead to altered urinary elimination. Low fluid intake can cause concentrated urine and potential retention issues, but it does not have the same systemic impact on the urinary system as the physiological changes that accompany multiple pregnancies.