Maternal Child Ch. 45 Exam Questions
and Answers 100% Solved | Rated A+
Which diagnostic test allows visualization of the renal parenchyma and
renal pelvis without exposure to
external beam radiation or radioactive isotopes?
a. Renal ultrasound c. Intravenous pyelography
b. Computed tomography d. Voiding cystourethrography - ✔✔ANS: A
The transmission of ultrasonic waves through the renal parenchyma allows
visualization of the renal
parenchyma and renal pelvis without exposure to external beam radiation
or radioactive isotopes. Computed
tomography uses external radiation, and sometimes contrast media are
used. Intravenous pyelography uses
contrast medium and external radiation for x-ray films. Contrast medium is
injected into the bladder through
the urethral opening for voiding cystourethrography. External radiation for
x-ray films is used before, during, and after voiding.
1
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,Which diagnostic finding is present when a child has primary nephrotic
syndrome?
a. Hyperalbuminemia c. Leukocytosis
b. Positive ASO titer d. Proteinuria - ✔✔ANS: D
Large amounts of protein are lost through the urine as a result of an
increased permeability of the glomerular
basement membrane. Hypoalbuminemia is present because of loss of
albumin through the defective
glomerulus and the livers inability to synthesize proteins to balance the
loss. ASO titer is negative in a child
with primary nephrotic syndrome. Leukocytosis is not a diagnostic finding in
primary nephrotic syndrome
Which factor predisposes a child to urinary tract infections?
a. Increased fluid intake c. Prostatic secretions in males
b. Short urethra in young girls d. Frequent emptying of the bladder -
✔✔ANS: B
The short urethra in females provides a ready pathway for invasions of
organisms. Increased fluid intake and
frequent bladder emptying offer protective measures against urinary tract
infections. Prostatic secretions have
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, antibacterial properties that inhibit bacteria.
What should the nurse recommend to prevent urinary tract infections in
young girls?
a. Wearing cotton underpants
b. Limiting bathing as much as possible
c. Increasing fluids; decreasing salt intake
d. Cleansing the perineum with water after voiding - ✔✔ANS: A
Cotton underpants are preferable to nylon underpants. No evidence exists
that limiting bathing, increasing
fluids, decreasing salt intake, or cleansing the perineum with water
decreases urinary tract infections in young
girls
. The nurse is assisting the pediatric provider with a newborn examination.
The provider notes that the infant
has hypospadias. The nurse understands that hypospadias refers to:
a. Absence of a urethral opening.
b. Penis shorter than usual for age.
c. Urethral opening along dorsal surface of penis.
d. Urethral opening along ventral surface of penis. - ✔✔ANS: D
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
and Answers 100% Solved | Rated A+
Which diagnostic test allows visualization of the renal parenchyma and
renal pelvis without exposure to
external beam radiation or radioactive isotopes?
a. Renal ultrasound c. Intravenous pyelography
b. Computed tomography d. Voiding cystourethrography - ✔✔ANS: A
The transmission of ultrasonic waves through the renal parenchyma allows
visualization of the renal
parenchyma and renal pelvis without exposure to external beam radiation
or radioactive isotopes. Computed
tomography uses external radiation, and sometimes contrast media are
used. Intravenous pyelography uses
contrast medium and external radiation for x-ray films. Contrast medium is
injected into the bladder through
the urethral opening for voiding cystourethrography. External radiation for
x-ray films is used before, during, and after voiding.
1
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
,Which diagnostic finding is present when a child has primary nephrotic
syndrome?
a. Hyperalbuminemia c. Leukocytosis
b. Positive ASO titer d. Proteinuria - ✔✔ANS: D
Large amounts of protein are lost through the urine as a result of an
increased permeability of the glomerular
basement membrane. Hypoalbuminemia is present because of loss of
albumin through the defective
glomerulus and the livers inability to synthesize proteins to balance the
loss. ASO titer is negative in a child
with primary nephrotic syndrome. Leukocytosis is not a diagnostic finding in
primary nephrotic syndrome
Which factor predisposes a child to urinary tract infections?
a. Increased fluid intake c. Prostatic secretions in males
b. Short urethra in young girls d. Frequent emptying of the bladder -
✔✔ANS: B
The short urethra in females provides a ready pathway for invasions of
organisms. Increased fluid intake and
frequent bladder emptying offer protective measures against urinary tract
infections. Prostatic secretions have
2
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
, antibacterial properties that inhibit bacteria.
What should the nurse recommend to prevent urinary tract infections in
young girls?
a. Wearing cotton underpants
b. Limiting bathing as much as possible
c. Increasing fluids; decreasing salt intake
d. Cleansing the perineum with water after voiding - ✔✔ANS: A
Cotton underpants are preferable to nylon underpants. No evidence exists
that limiting bathing, increasing
fluids, decreasing salt intake, or cleansing the perineum with water
decreases urinary tract infections in young
girls
. The nurse is assisting the pediatric provider with a newborn examination.
The provider notes that the infant
has hypospadias. The nurse understands that hypospadias refers to:
a. Absence of a urethral opening.
b. Penis shorter than usual for age.
c. Urethral opening along dorsal surface of penis.
d. Urethral opening along ventral surface of penis. - ✔✔ANS: D
3
©JOSHCLAY 2024/2025. YEAR PUBLISHED 2024.
