Most common organism UTI in children CORRECT ANS-E Coli
Increased risk for UTI in children with: CORRECT ANS-Constipation
VUR
urinary tract obstruction and neurogenic bladder
poor perineal hygiene
structural abnormalities
catheterization
instrumentation of urinary tract
& sexual activity.
Circumcision related to UTI CORRECT ANS-Reduces risk in males
Nonspecific signs of UTI in newborns and infants CORRECT ANS-Fever
hypothermia
jaundice
poor feeding
, Unit 5-CMN 568 Test Questions and Answers
irritability
FTT
vomiting
sepsis
Signs of UTI in preschoolers CORRECT ANS-abdominal and flank pain
vomiting
fever
urinary frequency
dysuria
urgency
or enuresis
Signs of UTI in School age children CORRECT ANS-Classic symptoms of cystitis
CVA tenderness CORRECT ANS-Not common in young children but may be present in
school aged children
, Unit 5-CMN 568 Test Questions and Answers
Physical exam for UTI CORRECT ANS-BP assessment
Abdominal exam - check for masses, one of most common abd. mass in children is renal in
origin.
GU exam
Lab findings UTI CORRECT ANS->5 wbc - Urine
nitrite on urine dip stick highly correlates with UTI
UTI gold standard for diagnosis CORRECT ANS-Urine culture
VCUG (voiding cystourethrogram) CORRECT ANS-No longer recommended following first
UTI in childhood but is recommended for young children with 2nd UTI and associated fever
Urine collection CORRECT ANS-Bladder catheterization preferred in infants and young
children
Mid stream clean catch preferred for toilet trained or older children
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