Chapter 37: Child With a Genitourinary Condition

Chapter 37: Child With a Genitourinary Condition

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The nurse educator teaches a group of nursing students about the anatomy and physiology of the kidneys. Which statement made by a student indicates an appropriate understanding of the information presented?

1)	“The medulla is composed of the glomeruli and convoluted tubules of the nephron and blood vessels, which filter the urine.”
2)	“The blood supply of the kidney is through a single renal artery that comes from each side of the aorta, one to each kidney.”
3)	“Blood flows into the glomerulus through the efferent arteriole and leaves through the afferent arteriole.”
4)	“The tubular components of the nephron are divided into four parts; the first part is a coiled portion termed the loop of Henle.”

 

 

____     2.   A school-aged child is diagnosed with pyelonephritis. When planning to teach the child’s parents about this diagnosis, the nurse tells them that the infection is located in which structure?

1)	Bladder
2)	Renal pelvis
3)	Renal parenchyma
4)	Reproductive tract

 

 

____     3.   Which data collected by the nurse support the diagnosis of isotonic dehydration for a pediatric patient?

1)	Emesis
2)	Hemorrhage
3)	Profuse sweating
4)	Poor fluid intake

 

 

____     4.   The nurse is performing a physical assessment of a school-aged child with a history of urinary tract infection (UTI). The child’s urine has been brownish lately. On the basis of these data, the nurse explains that a diagnostic test may be ordered to assess for which item in the urine?

1)	Ketones
2)	Hematuria
3)	Proteinuria
4)	Calcium

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  2

Chapter number and title: 37: Child With a Genitourinary Condition

Chapter learning objective: Describe how a child’s renal system impacts fluid and electrolyte status as well as acid/base balance.

Chapter page reference: 621

Heading: The Development of the Genitourinary System

Integrated processes: Teaching and Learning

Client need: Health Promotion and Maintenance

Cognitive level: Analysis [Analyzing]

Concept: Urinary Elimination

Difficulty: Difficult

 

	Feedback
1	The outer cortex is composed of the glomeruli and convoluted tubules of the nephron and blood vessels.
2	The blood supply of the kidney is through a single renal artery that comes from each side of the aorta, one to each kidney.
3	Blood flows into the glomerulus through the afferent arteriole, and it leaves through the efferent arteriole.
4	The tubular components of the nephron are divided into four parts; the first is a coiled portion termed the proximal convoluted tubule, and this drains Bowman’s capsule.

 

 

PTS:   1                    CON:  Urinary Elimination

 

2. ANS:  3

Chapter number and title: 37: Child With a Genitourinary Condition

Chapter learning objective: Analyze the etiologies associated with a urinary tract infection and discuss the risk factors associated with each age group.

Chapter page reference: 626-627

Heading: Urinary Tract Infections

Integrated processes: Teaching and Learning

Client need: Physiological Adaptation

Cognitive level: Application [Applying]

Concept: Infection

Difficulty: Moderate

 

	Feedback
1	Infection of the bladder is cystitis.
2	Infection of the renal pelvis is pyelitis.
3	Infection of the renal parenchyma is pyelonephritis.
4	Reproductive tract infections also occur, such as prostatitis and epididymitis.

 

 

PTS:   1                    CON:  Infection

 

3. ANS:  2

Chapter number and title: 37: Child With a Genitourinary Condition

Chapter learning objective: Discuss the clinical presentation of a dehydrated child across childhood and discuss a plan of nursing care for a child in a dehydrated state.

Chapter page reference: 625

Heading: Isotonic Dehydration

Integrated processes: Clinical Problem-Solving Process

Client need: Physiological Adaptation

Cognitive level: Comprehension [Understanding]

Concept: Fluid and Electrolyte Balance

Difficulty: Moderate

 

	Feedback
1	Emesis supports the diagnosis of hypertonic, not isotonic, dehydration.
2	Hemorrhage supports the diagnosis of isotonic dehydration.
3	Profuse sweating supports the diagnosis of hypotonic, not isotonic, dehydration.
4	Poor fluid intake supports the diagnosis of hypertonic, not isotonic, dehydration.

 

 

PTS:   1                    CON:  Fluid and Electrolyte Balance

 

4. ANS:  2

Chapter number and title: 37: Child With a Genitourinary Condition

Chapter learning objective: Analyze the etiologies associated with a urinary tract infection and discuss the risk factors associated with each age group.

Chapter page reference: 626

Heading: Assessment of UTIs

Integrated processes: Clinical Problem-Solving Process

Client need: Reduction of Risk Potential

Cognitive level: Application [Applying]

Concept: Urinary Elimination

Difficulty: Moderate

 

	Feedback
1	A diagnostic test to assess for ketones is not anticipated.
2	Asymptomatic gross (visible) and microscopic hematuria is considered fairly common in children, and the most common etiologies for microscopic hematuria are hypercalciuria (calcium deposits in the urine) with or without renal calculi, poststreptococcal glomerulonephritis, and structural abnormalities, including a single kidney. The color of the hematuria may be significant; tea-colored or brownish urine, especially if it contains protein and casts, signifies a nephrological disorder. Pink or red urine with or without blood clots but without protein usually originates in the lower urinary tract.
3	A diagnostic test to assess for proteinuria is not anticipated.
4	A diagnostic test to assess for calcium is not anticipated.

 

 

PTS:   1                    CON:  Urinary Elimination