Comprehensive and Complete GU Peds Q&A Bundle

A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac ? Which of the following interventions should the nurse include in the plan of care? a. Initiate contact precautions . b. Provide a latex - free environment c. Limit visitors to...

The nurse should recognize which laboratory value as being abnormal? A. pH: 4 B. Specific gravity: 1.020 C. Protein level: absent D. Glucose level: absent A. pH: 4 The expected pH is 4.8 to 7.8. This is within the normal specific gravity range of 1.016 to 1.022. Protein should not be present in the...

The parents of a school-age child tell the nurse that the child goes to the toilet frequently and the urine smells strong. For which condition is the nurse likely to evaluate the child? Urinary tract infection A child with acute renal failure is provided nourishment by an intravenous (IV) route. Wh...

Dehydration •Types of dehydration- isotonic, hypotonic, hypertonic •Degrees of dehydration-mild, moderate, severe •Diagnostic evaluation-clinical manifestations, labs •Therapeutic management •Oral rehydration solution •Parenteral fluid therapy •Nursing considerations- VS, weight checks...

Four babies were delivered in the maternity unit during a 24-hour period. Which of the babies would the nurse most predict would exhibit cryptorchidism? 1. 34 weeks' gestation, 2,200 grams, Apgar 9/9 2. 37 weeks' gestation, 4,000 grams, Apgar 8/9 3. 39 weeks' gestation, 3,500 grams, Apgar 7/8 4....

C and D Which of the following increases the risk for a urinary tract infection? Select all that apply A. African American race B. Male gender C. Bubble baths D. Constipation B Urethral opening located posterior to glans penis or at any point along the ventral surface describes which of the follow...

Renal development Born with all nephrons Kidney develops untli 5 y/o, full size and efficiency at adolescence Reach maturity at 2 yrs Bladder development 20-50ml capacity at birth 700 ml capacity as adult Nerves for bladder control not fully developed until 2 yrs Physiological issues with kidney...

Refers to recurrent postprandial spitting and vomiting in healthy infants that resolve spontaneously Uncomplicated GERD Is present when reflux causes secondary symptoms or complications GERD If emesis contain bile: requires immediate evaluation as this may be a symptom of intestinal obstruction W...

Embryonic developmental failures r/t multiple genetic and environmental factors. These developmental failures result in an abnormal opening in the lip, palate, and, sometimes, nasal cavity. This issue is an abnormal opening in the lip or palate. The defects may occur unilaterally (on either side) or...

Therapeutic management of most children with Hirschsprung's disease is primarily: a.Daily enemas. b.Low-fiber diet. c.Permanent colostomy. d.Surgical removal of affected section of bowel ANS: D. Surgical removal of affected section of bowel Most children with Hirschsprung's disease require surgica...

6.Which of the following should the nurse do first after noting that a child with Hirschsprung disease has a fever and watery explosive diarrhea? a. Notify the physician immediately b. Administer antidiarrheal medications c. Monitor child every 30 minutes d. Nothing, this is characteristic ofHirsch...

A 5-day-old infant boy is brought to the pediatrician'soffice by his mother for his first visit. He was born full-term via spontaneous vaginal delivery with no complications. His mother is concerned because she noticed that milk continually flows out his nose during feedings and she is worried that...

A 15-year-old girl has been experiencing dysmenorrhea for the past year. Over the past 6 months, she has been taking ibuprofen and oral contraceptives, with no improvement. What underlying condition should be assessed for in this client at this point? a) Endometriosis b) Mittelschmerz c) Toxic shoc...

Impact of pediatric differences in the GI system: - Small stomach capacity - Increased peristalsis (everything runs through quickly, not uncommon for a bowel movement with each feeding) - Relaxed cardiac sphincter - Decreased enzymes (do not digest as well, especially proteins) - Distention from gas...

A child is admitted with right lower quadrant abdominal pain, anorexia, and fever. The pain suddenly subsides, and the child is able to play normally but still has a fever. Which potential complication is an immediate concern for this child? Sepsis A child is admitted to the hospital with right low...

What is the facial malformation (unilateral or bilateral) that develops in the embryonic period when the *maxillary & the median nasal process fail to fuse properly*? *cleft lip/palate* (started in the *6th week* of gestation & is completed around the *12th week* ---> so usually when a woman find...

Anatomy and Physiology of the Gastrointestinal System of Children -Mouth: highly vascular; entry point of infection -Esophagus: LES not fully developed until age 1, causing regurgitation -Stomach capacity: --Newborn only 10 to 20 mL --2-month-old infant 200 mL --16-year-old adolescent 1,500 mL Small...

The first method of choice for obtaining a urine specimen from a 3-year-old child with a possible urinary tract infection is which of the following? a) Performing a suprapubic aspiration b) Placing an indwelling urinary catherter c) Placing a cotton ball in the underwear to catch urine d) Obtaining...

Nutritional Disorders -When a child doesn't receive enough nutrients, body can't grow and develop appropriately -Failure to Thrive *on the growth chart they fall off *also can be due to neglect or pathophysiology (disease process) -Nursing care for promotion of adequate nutrition *Encourage breast...

1 An 18-month-old client is brought in for a well-child visit. The parent reports feeling a lump to the right of the "bellybutton" during bathing. Initial assessments should include: (Select all that apply.) 1. Measuring weight and height. 2. Palpation of the area. 3. Routine urine testing. 4. Vit...

Normal urethra is one way which means.... not allowing retrograde of urine No reflux of urine Renal function is not completely mature until? 2 years old Define enuresis involuntary urinating ("wet the bed") inappropriate voiding of urine at least twice a week for 3 months in a child who is 5 yea...

1. The nurse is reviewing the basic anatomy and physiology of the genitourinary system. e The nurse knows that the bladder capacity of a 3-year-old could be estimated to be approximately how much? 1. 1.5 oz. 2. 3 oz. 3. 4 oz. 4. 5 oz. 4. The capacity of the bladder can be estimated by adding 2 to th...

What is the most common cause of acute diarrhea in peds? Rotavirus most common cause What is the Most common cause of vomiting in childhood? acute viral gastroenteritis What is recurrent abdominal pain? experience abdominal pain or discomfort at least once per week for at least 2 months (ALARM sym...

A child is receiving cyclosporine after a kidney transplant. The child's parents ask the nurse the reason for the cyclosporine. The nurse's response is based on the knowledge that the medication's purpose is to: 1 Decrease pain 2 Boost immunity 3 Suppress rejection 4 Improve circulation to the ki...

The nurse is providing discharge teaching to an adolescent who has been treated for pelvic inflammatory disease (PID). What would the nurse include as a preventive measure? Insisting the sexual partners use condoms. (PID is an STI; use of condoms prevents PID) In caring for a child with nephrotic s...

Total body water -Involves ICF (fluid within the cells) -Involves ECF (fluid outside the cells) ECF Intravascular Interstitial Transcellular Sodium is the chief solute in ECG and the primary determinant of ECG volume Water Balance -under normal conditions the amount of water ingested closely appro...

Which condition is appropriate for a previously healthy 10 year old boy who is hospitalized for weight gain over the past several days, generalized edema, and irritability? Nephrotic syndrome - weigh gain over several days preceding presentation, generalized edema and irritability are associated wit...