Chapter 30 The Child with a Genitourinary Condition - Leifer Maternity and Pediatric Nursing

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Chapter 30 The Child with a Genitourinary Condition - Leifer Maternity and Pediatric Nursing

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?

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