Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer
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Chapter 29: The Child with a Genitourinary Condition
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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
| 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
| 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
| 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
| 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
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