Reproductive/Urinary Issues Flashcards

1
Q

Enuresis

A

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

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2
Q

Primary enuresis

A

child never been free of bed-wetting

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3
Q

Secondary enuresis

A

child started bed wetting after development of urinary control

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4
Q

Risk factors for enuresis

A

family hx
bladder dysfunction
males
behavioral disorders

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5
Q

nursing care for a child with enuresis

A

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

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6
Q

bacteriuria

A

bacteria in the urine
can be asymptomatic or have UTI symptoms

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7
Q

Persistent UTI

A

bacteriuria that doesn’t resolve with antibiotics

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8
Q

Febrile UTI

A

symptomatic bacteriuria w/ fever
can lead to urosepsis

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9
Q

cystitis

A

inflammation of the bladder

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10
Q

urethritis

A

inflammation of the urethra

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11
Q

pyelonephritis

A

inflammation of the upper urinary tract and kidneys

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12
Q

risk factors for UTI

A

urinary stasis
reflux
constipation
poor hygiene
tight underwear
sexual activity

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13
Q

Assessment findings of UTI for infants

A

poor feeding
vomiting
increase thirst
fever
seizure
foul smelling urine

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14
Q

nursing care for UTI management

A

encourage frequent voiding
fluids
monitor urine output
pain medications

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15
Q

Client education for UTI prevention

A

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

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16
Q

symptoms of dysfunctional voiding

A

straining
urgency
enuresis

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17
Q

s/s of kidney transplant rejection

A

fever
swelling
decreased urine output
elevated BP and creatinine

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18
Q

Acute Glomerulonephritis

A

benign inflammation of glomeruli

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19
Q

Main s/s of AGN

A

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

20
Q

Acute post-streptococcal glomerulonephritis

A

disease occurs as a result of group A streptococcal infection

21
Q

Physical assessment findings of AGN

A

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

22
Q

Nursing care for AGN

A

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

23
Q

Nephrotic syndrome

A

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

24
Q

Physical assessment findings for nephrotic syndrome

A

Muehrcke lines
ascites
pallor
vomiting
facial and periorbital swelling

25
Q

Nursing care for nephrotic syndrome

A

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

26
Q

Hemolytic uremic syndrome

A

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

27
Q

Main risk factor that is 90% of cases of HUS

A

E.coli infections

28
Q

Physical assessment findings for HUS

A

diarrhea and vomiting
loss of appetite
edema
lethargy

29
Q

Acute renal failure

A

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

30
Q

What is prerenal causes ARF?

A

dehydration secondary to diarrheal disease or persistent vomiting
prolonged anesthesia

31
Q

Intrinsic renal causes of ARF?

A

damage to glomeruli, tubules, or renal vasculature

32
Q

Physical assessment findings of ARF

A

oliguria
edema
diuresis
cns manifestations

33
Q

Nursing care for ARF

A

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

34
Q

Chronic renal failure

A

kidneys can no longer filter
irreversible damage

35
Q

expected findings for CRF

A

N&V
malaise
delayed growth
elevated BP

36
Q

Obstructive uropathy

A

structural or functional obstruction in urinary system

37
Q

chordee meaning

A

ventral curvature of the penis

38
Q

Bladder exstrophy

A

birth defect; bladder forms outside body

39
Q

Hypospadias

A

urethral opening below glans penis

40
Q

Epispadias

A

urethra curves upward

41
Q

Phimosis

A

inability to retract the foreskin
disappears as child grows

42
Q

Cryptorchidism

A

undescended testes

43
Q

Hydrocele

A

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

44
Q

Variocele

A

dilation of the veins of the spermatic cord

45
Q

Testicular torsion

A

testis hang free from vascular structures