Exam (elaborations)
Chapter 26. The Child with Genitourinary Dysfunction
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 26. The Child with Genitourinary Dysfunction
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Chapter 26. The Child with Genitourinary Dysfunction,MULTIPLE CHOICE
1. Urinary tract anomalies are frequently associated with what irregularities in
fetal development?
a. Myelomeningocele
b. Cardiovascular anomalies
c. Malformed or low-set ears
d. Defects in lower
extremities ANS: C
, Although unexplained, there is a frequent association between malformed or low-set ears and
urinary tract anomalies. During the newborn examination, the nurse should have a high
suspicion about urinary tract structure and function if ear anomalies are present. Children who
have myelomeningocele may have impaired urinary tract function secondary to the neural
defect.
When other congenital defects are present, there is an increased likelihood of other issues with
other body systems. Cardiac and extremity defects do not have a strong association with renal
anomalies.
DIF: Cognitive Level: Understanding REF: dl. 1000
TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. What urine test result is considered abnormal?
a. pH 4.0
b. WBC 1 or 2 cells/ml
c. Protein level absent
d. Specific gravity
1.020 ANS: A
The expected pH ranges from 4.8 to 7.8. A pH of 4.0 can be indicative of urinary tract infection
or metabolic alkalosis or acidosis. Less than 1 or 2 white blood cells per milliliter is the expected
range. The absence of protein is expected. The presence of protein can be indicative of
glomerular disease. A specific gravity of 1.020 is within the anticipated range of 1.001 to 1.030.
Specific gravity reflects level of hydration in addition to renal disorders and hormonal control
such as antidiuretic hormone.
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