GU - PP

Question 1

cryptorchidism is a fancy word for

Answer 1

undescended testes

Question 2

when do we assess for cryptorchidism

Answer 2

during our newborn assessment

Question 3

when would the testes spontaneously descend into scrotal sack

Answer 3

3 months without intervention

Question 4

why would we need to ensure testes descend

Answer 4

increased risk for testicular cancer later in life

increased temperature - affect on healthy sperm

Question 5

it is rare for testes, once descended, to revert back t or f

Answer 5

true - very uncommon

Question 6

dx for cryptorchidism

Answer 6

ultra sound - CT scan - location purposes

Question 7

trt for cryptorchidism

Answer 7

orchiopexy

Question 8

what happens in an orchiopexy

Answer 8

stitch in abdomen/testes - pull testes into scrotum

post-op stitches in abdomen/scrotum

Question 9

is an orchiopexy an outpatient procedure

Answer 9

yes

Question 10

when is an orchiopexy performed (age)

Answer 10

usually between 6-24 months

Question 11

true absence of testes is rare t or f

Answer 11

true - would be caused by testosterone deficiency

Question 12

what population is cryptorchidism commonly seen in?

Answer 12

preemies - just hasn’t happened yet

Question 13

post op care of cryptorchidism/orchiopexy

Answer 13

wound care 
protect area from injury/infection
change diaper often
antibiotic ointment
pain control
no tub baths (2-3 days); give sponge baths
double diaper
no hip placement holding (positional)

Question 14

hypospadias is what type of defect?

Answer 14

congenital defect

Question 15

manifestation of hypospadias

Answer 15

malformation of urethra - below normal placement (ventral side of penal shaft)
altered urine stream - down and straight
chordee

Question 16

increased risk for this with hypospadias

Answer 16

congenital (father or sibling affected?)

inguinal hernia

Question 17

cause of hypospadias

Answer 17

unknown

Question 18

when does hypospadias occur

Answer 18

9-12 weeks of development

Question 19

what is chordee?

Answer 19

curvature of the penis

Question 20

what can happen with chordee?

Answer 20

difficulty with erection

Question 21

correction of chordee

Answer 21

surgery to lengthen the urethra

done at 6-12 months (prior to toilet training/body image)

Question 22

should we circumcise a child presenting with chordee

Answer 22

no - use foreskin to help lengthen penis/making urethra

Question 23

post surgery care/trt for chordee surgery

Answer 23

catheter left in urethra so urine doesn’t hit incision area (stitched to head of penis)
double diaper to protect from injury to area
no straddling
no rough housing
no tub baths

Question 24

when will catheter be removed post chordee surgery

Answer 24

7-10 days post-op

Question 25

when will we dx/identify hypospadias

Answer 25

newborn assessment assessing stream/dribbling family hx

Question 26

what happens in bladder extrophy

Answer 26

gastroschisis (opening) - protrusion of bladder through the abdominal wall ureters might not be connected

Question 27

manifestations of bladder extrophy

Answer 27

may not get full use of bladder penis size is shorter in males may not have vaginal opening or narrowing in girls may never get full fxn of bladder/lifetime incontinence

Question 28

treatment for bladder extrophy

Answer 28

many surgeries - first within 1st 48 hours

Question 29

what interventions are necessary in bladder extrophy if you don't get full use of the bladder

Answer 29

urostomy | urinary diversion

Question 30

pre-op care for bladder extrophy surgery

Answer 30

cover exposed organs (protection)

Question 31

can bladder extrophy be detected by ultrasound

Answer 31

yes- may be present on delivery as well

Question 32

those with bladder extrophy are at an increased risk for

Answer 32

*cancer (bladder, colon) | urine prolapse in women

Question 33

the most common kidney tumor of childhood

Answer 33

wilms tumor

Question 34

dx of wilms tumor

Answer 34

CT/MRI/US of abdomen images to check for metastasis (chest CT) labs

Question 35

manifestation of wilms tumor

Answer 35

swelling in abdomen

Question 36

standard treatment for wilms tumor

Answer 36

*surgery and chemo

Question 37

chemo trt for wilms tumor starts/lasts for?

Answer 37

always after surgery lasting 6-15 months sometimes before surgery

Question 38

will pt. with wilms tumor receive radiation

Answer 38

sometimes for shrinking tumor - but standard is surgery and chemo

Question 39

wilms tumor has one of the highest survival rates among childhood cancers, t or f?

Answer 39

true

Question 40

nursing care for wilms tumor

Answer 40

**DO NOT PALPATE TUMOR KEEP TUMOR ENCAPSALATED - BEST THING FOR SURVIVAL Monitor BP r/t renal artery compression

Question 41

preschoolers have difficulty understanding chemotherapy trt since it makes them feel so sick, t or f

Answer 41

true

Question 42

single kidney concerns

Answer 42

**NO CONTACT SPORTS trauma to the remaining kidney wear bracelet to identify pt. as having a single kidney peak and troth for therapeutic range (medication)