Reproductive/Urinary Issues

Question 1

Enuresis

Answer 1

uncontrolled urination that occurs after child is beyond an age where bladder control is achieved

Question 2

Primary enuresis

Answer 2

child never been free of bed-wetting

Question 3

Secondary enuresis

Answer 3

child started bed wetting after development of urinary control

Question 4

Risk factors for enuresis

Answer 4

family hx
bladder dysfunction
males
behavioral disorders

Question 5

nursing care for a child with enuresis

Answer 5

evaluate child’s self esteem
have child urinate before bed
restrict fluids 2 hr prior to bedtime
avoid caffeine

Question 6

bacteriuria

Answer 6

bacteria in the urine
can be asymptomatic or have UTI symptoms

Question 7

Persistent UTI

Answer 7

bacteriuria that doesn’t resolve with antibiotics

Question 8

Febrile UTI

Answer 8

symptomatic bacteriuria w/ fever
can lead to urosepsis

Question 9

cystitis

Answer 9

inflammation of the bladder

Question 10

urethritis

Answer 10

inflammation of the urethra

Question 11

pyelonephritis

Answer 11

inflammation of the upper urinary tract and kidneys

Question 12

risk factors for UTI

Answer 12

urinary stasis
reflux
constipation
poor hygiene
tight underwear
sexual activity

Question 13

Assessment findings of UTI for infants

Answer 13

poor feeding
vomiting
increase thirst
fever
seizure
foul smelling urine

Question 14

nursing care for UTI management

Answer 14

encourage frequent voiding
fluids
monitor urine output
pain medications

Question 15

Client education for UTI prevention

Answer 15

know s/s
wipe front to back
ensure proper hygiene for uncircumcised males
use cotton underwear
empty bladder quickly

Question 16

symptoms of dysfunctional voiding

Answer 16

straining
urgency
enuresis

Question 17

s/s of kidney transplant rejection

Answer 17

fever
swelling
decreased urine output
elevated BP and creatinine

Question 18

Acute Glomerulonephritis

Answer 18

benign inflammation of glomeruli

Question 19

Main s/s of AGN

Answer 19

oliguria, edema, hypertension, circulatory congestion, hematuria, proteinuria

Question 20

Acute post-streptococcal glomerulonephritis

Answer 20

disease occurs as a result of group A streptococcal infection

Question 21

Physical assessment findings of AGN

Answer 21

cloudy, or cola- tea colored urine
decreased urine output
facial edema
low grade fever
vomiting

Question 22

Nursing care for AGN

Answer 22

I&O
daily weight
neuro status
vital signs
seizure precautions
restrict sodium and fluid

Question 23

Nephrotic syndrome

Answer 23

massive proteinuria, hyperlipidemia, edema due to dysfunction of glomerular membrane

Question 24

Physical assessment findings for nephrotic syndrome

Answer 24

Muehrcke lines
ascites
pallor
vomiting
facial and periorbital swelling

Question 25

Nursing care for nephrotic syndrome

Answer 25

monitor protein in urine daily weight strict I&O elevate legs assess for skin breakdown

Question 26

Hemolytic uremic syndrome

Answer 26

acute renal disease, acute renal failure, hemolytic anemia, thrombocytopenia

Question 27

Main risk factor that is 90% of cases of HUS

Answer 27

E.coli infections

Question 28

Physical assessment findings for HUS

Answer 28

diarrhea and vomiting loss of appetite edema lethargy

Question 29

Acute renal failure

Answer 29

inability of the kidneys to excrete waste, concentrate urine, and conserve electrolytes

Question 30

What is prerenal causes ARF?

Answer 30

dehydration secondary to diarrheal disease or persistent vomiting prolonged anesthesia

Question 31

Intrinsic renal causes of ARF?

Answer 31

damage to glomeruli, tubules, or renal vasculature

Question 32

Physical assessment findings of ARF

Answer 32

oliguria edema diuresis cns manifestations

Question 33

Nursing care for ARF

Answer 33

treat underlying cause I&O limit fluid intake daily weight vital signs

Question 34

Chronic renal failure

Answer 34

kidneys can no longer filter irreversible damage

Question 35

expected findings for CRF

Answer 35

N&V malaise delayed growth elevated BP

Question 36

Obstructive uropathy

Answer 36

structural or functional obstruction in urinary system

Question 37

chordee meaning

Answer 37

ventral curvature of the penis

Question 38

Bladder exstrophy

Answer 38

birth defect; bladder forms outside body

Question 39

Hypospadias

Answer 39

urethral opening below glans penis

Question 40

Epispadias

Answer 40

urethra curves upward

Question 41

Phimosis

Answer 41

inability to retract the foreskin disappears as child grows

Question 42

Cryptorchidism

Answer 42

undescended testes

Question 43

Hydrocele

Answer 43

fluid in scrotum; enlarged scrotal sac CAN RESOLVE ON IT'S OWN

Question 44

Variocele

Answer 44

dilation of the veins of the spermatic cord

Question 45

Testicular torsion

Answer 45

testis hang free from vascular structures