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. 4...
four babies were delivered in the maternity unit d
rationale 1 most babies who are born with crypto
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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?
Rationale:
1. Most babies who are born with cryptorchidism are preterm.2. By 36 weeks' gestation,
the testes should be descended. 3. By 36 weeks' gestation, the testes should be
descended. 4. By 36 weeks' gestation, the testes should be descended. TEST-TAKING
TIP: The testes develop in the abdomen and slowly descend through the inguinal canal
into the scrotal sac. Babies who are born preterm are, therefore, most likely to exhibit
cryptorchidism. Apgar and weight do not affect whether or not the testes descend.
An Orthodox Jewish couple deliver a baby boy with hypospadias. The parents state,
"We are so excited. We are planning the baby's bris (ritual circumcision) for next week.
Which of the following responses by the nurse is appropriate?
1. "I know how happy you must be. I know that you will have a wonderful party."
2. "If you are comfortable sharing the information, what Hebrew name do you plan to
give your baby next week?"
3. "I understand how important it is to have a bris, but the baby will not be able to be
circumcised next week."
4. "Do you have a mohel to perform the bris?I know how hard it is to locate one who you
feel you can trust." ✅ANSWER: 3
Rationale:
1. It would be appropriate for the nurse to congratulate the couple, but this is not the
most appropriate statement for the nurse to make.2. It is true that the baby's Hebrew
name would be bestowed at the bris, but this is not the most appropriate statement for
the nurse to make.3. This is the most appropriate statement for the nurse to make. The
baby will not be able to be circumcised at the bris.4. It is true that a mohel is the
individual who does the circumcision at a bris, but this is not the most appropriate
statement for the nurse to make.
TEST-TAKING TIP: When a baby is born with hypospadias, circumcisions are
postponed until surgical correction of the urethra is performed. The surgeon will use the
foreskin from the circumcision as grafting material for the reconstruction.
, A baby is admitted to the newborn nursery with a chordee penis. The nurse carefully
assesses the baby for which of the following signs/symptoms?
1. Blood-tinged urine
2. Constant dripping of urine from the urethra
3. Absence of urinary output
4. Urine flowing from the under surface of the
penis ✅ANSWER: 4
Rationale:
1. Babies with a chordee penis are not at high risk for blood-tinged urine.2. Babies with
a chordee penis are not at high risk for constant urine dripping from the urethra.
3. Babies with a chordee penis are not at high risk for absence of urinary output.4.
Babies with a chordee penis are at high risk for hypospadias.
TEST-TAKING TIP: Nurses should be prepared to assess for birth defects that
commonly accompany assessment findings. Babies who are born with a chordee penis
(a penis that curves downward) should carefully be assessed for hypospadias, that is,
for urine that exits from the underside of the penis.
A 7-year-old child has been prescribed desmopressin (DDAVP) 20 mcg intranasal (10
mcg in each nostril) for nocturnal enuresis. Which of the following information regarding
the medication should the nurse include in the parent/child teaching session?
1. Child must consume at least five cups of fluid
each day.
2. Medication should be stored in the freezer
between administrations.
3. Severe headaches with blurred vision should be reported to the prescribing
practitioner.
4. Spray should be administered into the nostrils
while the child is lying supine with head extended. ✅ANSWER: 3
Rationale:
1. This statement is incorrect. The child's fluid intake should be restricted, especially
before bedtime.2. This statement is incorrect. The medication should be kept in the
refrigerator but should not be frozen.3. This statement is correct. If the dosage is too
high, the child may develop adverse signs, including severe high blood pressure with
headaches and blurred vision.4. This statement is incorrect. The child should be sitting
upright, and the nasal spray bottle should be vertical during medication
administration.TEST-TAKING TIP: Desmopressin is one of the few medications
administered to children with nocturnal enuresis. It is important to monitor the child for
possible side effects, including severe hypertension with headaches and blurred vision
and injuries to the nasal mucosa.
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