Chapter 29: The Child with a Genitourinary Condition

Chapter 29: The Child with a Genitourinary Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child. Which statement made by the parent indicates a need for further teaching?

a.	“My daughter should wash and wipe the perineal area from front to back.”
b.	“I am only going to have my daughter wear cotton underwear.”
c.	“It is acceptable to take frequent bubble baths.”
d.	“She needs to drink lots of fluids and void frequently.”

 

 

ANS:  C

Oils in bubble bath and similar products are known to irritate the urethra.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 675, Nursing Tip

OBJ:   N/A                TOP:   Acute Urinary Tract Infection

KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

2. When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition?

a.	No intervention is necessary as the defect will correct itself over time.
b.	Surgical repair of the hypospadias is done before 18 months of age.
c.	Corrective surgery is usually delayed until the preschool age.
d.	Repairing the defect will increase the risk of testicular cancer.

 

 

ANS:  B

Treatment of hypospadias consists of surgical repair and is usually performed before 18 months of age.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 673        OBJ:   4

TOP:   Hypospadias   KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Growth and Development

 

3. What is an initial sign of nephrosis that the nurse might note in a child?

a.	Raspberry-like rash
b.	Periorbital edema
c.	Temperature elevation
d.	Abdominal pain

 

 

ANS:  B

The edema of nephrotic syndrome is generalized and not readily noticed, even by the parents, but an early sign that can be assessed is periorbital edema.

 

DIF:    Cognitive Level: Knowledge            REF:   Page 675        OBJ:   5

TOP:   Nephrotic Syndrome                       KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

4. What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?

a.	Infection
b.	Urinary retention
c.	Easy bruising
d.	Hypoglycemia

 

 

ANS:  A

Prednisone depresses the immune response and increases susceptibility to infection. Because steroids mask signs of infection, the child must be assessed for more subtle symptoms of illness.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 677        OBJ:   5

TOP:   Nephrotic Syndrome                       KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity

 

5. During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis. What action should the nurse implement?

a.	Forcibly push the foreskin down over the head of the penis.
b.	Place a warm compress on the penis.
c.	Notify the charge nurse.
d.	Wait a few hours and try again.

 

 

ANS:  C

Notify the charge nurse of this occurrence of paraphimosis. The tight foreskin can impede blood flow to the penis; this should be remedied immediately.

 

DIF:    Cognitive Level: Application           REF:   Page 672        OBJ:   1

TOP:   Paraphimosis                                  KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk