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CH 24 GENITOURINARY PEDS PRACTICE QUESTIONS AND CORRECT ANSWERS $8.49
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CH 24 GENITOURINARY PEDS PRACTICE QUESTIONS AND CORRECT ANSWERS
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Renal and urethral structure: oLarger kidneys in relation to abdomen. oUrethral opening close to rectum. oShorter urethras. Renal and urinary function: oAll nephrons present at birth but immature. oReduced glomerular filtration rate. oUnable to concentrate urine. oLess urine output per day bu...

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  • September 23, 2024
  • 10
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ch 24 genitourinary peds practice questions and co
  • renal and urethral structure olarger kidneys in
  • reproductive organ structure and function oimmat

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  • GU Peds
  • GU Peds

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CH 24 GENITOURINARY PEDS
PRACTICE QUESTIONS AND CORRECT
ANSWERS
Renal and urethral structure: ✅oLarger kidneys in relation to abdomen.

oUrethral opening close to rectum.

oShorter urethras.

Renal and urinary function: ✅oAll nephrons present at birth but immature.

oReduced glomerular filtration rate.

oUnable to concentrate urine.

oLess urine output per day but more voids.

LOWER BUN & CREATNINE LEVELS

Reproductive organ structure and function: ✅oImmature structure and function until
puberty (typically during adolescence).

A toddler is expected to have higher blood urea nitrogen and creatinine levels when
compared to an adult.

TRUE OR FALSE ✅False

Pediatric patients have lower blood urea nitrogen and creatinine levels when compared
to an adult.

ASSESSMENT: Urine and voiding characteristics: ✅oColor, clarity, odor, amount, and
frequency.

ASSESSMENT: Pain or discomfort ✅oPain when urinating or in flank and genital
areas.

ASSESSMENT: GENITALIA ✅oUrethral location, presence of testes, discharge or
drainage, and presence of lesions or redness.

ASSESSMENT: EDEMA ✅Location, severity, and pitting or nonpitting.

, ASSESSMENT: Diagnostic studies ✅oCT, cystoscopy, renal biopsy, blood urea
nitrogen, creatinine, and culture.

ASSESSMENT: Urine output ✅oInfant: 1-3 mL/kg/h
oChildren: 0.1-1 mL/kg/h

Nursing Interventions for Genitourinary Disorders ✅Maintain adequate hydration.

Maintain normal fluid and electrolyte balance.

Meet nutritional requirements.

Prevent infection.

Promote bladder emptying.

Promote pain relief and comfort.

Promote incisional healing and prevent skin breakdown.

Provide emotional and psychosocial support.

Administer and manage medications.

Urinary Tract Infections (UTIs) ✅Bacteria enter urethra and ascend to bladder.

Cystitis

Pyelonephritis

Risk factors can be structural or environmental

Clinical manifestations vary by age and severity of UTI.

Cystitis involves ✅urethra and bladder

Pyelonephritis involves ✅ureters, renal pelvis, or renal parenchyma

UTI Diagnostic and care ✅Collect a urine sample for culture and sensitivity.

Begin antibiotic therapy; IV if pyelonephritis.

Phenazopyridine for symptomatic management

Most common cause of UTI ✅Bacterial related to ecoli

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