Chapter 29: The Child with a Genitourinary
Condition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. What is an appropriate intervention for the edematous child with reduced mobility related to
nephrotic syndrome?
a. Reach the child to minimize body movements.
b. Change the child‘s position frequently.
c. Keep the head of the child‘s bed flat.
d. Keep edematous areas moist and covered.
ANS: B
The child should be turned frequently to prevent respiratory tract infection and to prevent
pressure on delicate skin.
2. 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: p. 694 | Nursing Tip
OBJ: 6 TOP: Acute Urinary Tract Infection
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
, 3. Parents are speaking with the urologist about their son‘s undescended testicle. Which statement
by the child‘s father causes the nurse to determine he understands the information presented?
a. “An undescended testicle can reduce fertility.”
b. “The testicle usually descends spontaneously during the first month of life.”
c. “Surgical correction reduces the risk for testicular tumors.”
d. “The optimal time to surgically correct the condition is at diagnosis.”
ANS: A
Although orchiopexy improves the condition, the fertility rate among patients may be
reduced even when only one testis is undescended.
DIF: Cognitive Level: Application REF: p. 700 OBJ: 1 | 5
TOP: Cryptorchidism KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
DIF: Cognitive Level: Application REF: p. 697 OBJ: 9
TOP: Nephrotic Syndrome KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. Which statement made by a parent of a child with nephrotic syndrome indicates an understanding
of discharge teaching?
a. “I will make sure he gets his measles vaccine as soon as he gets home.”
b. “He can stop taking his medication next week.”
c. “I should check his urine for protein when he goes to the bathroom.”
d. “He should eat a low-protein diet for the next few weeks.”
ANS: C
The parents should be instructed to keep a daily record of the child‘s urinary proteins.
DIF: Cognitive Level: Application REF: p. 697 OBJ: 9
TOP: Nephrotic Syndrome KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
5. A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the child‘s
history, what does the nurse recognize as the probable cause?
Condition
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. What is an appropriate intervention for the edematous child with reduced mobility related to
nephrotic syndrome?
a. Reach the child to minimize body movements.
b. Change the child‘s position frequently.
c. Keep the head of the child‘s bed flat.
d. Keep edematous areas moist and covered.
ANS: B
The child should be turned frequently to prevent respiratory tract infection and to prevent
pressure on delicate skin.
2. 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: p. 694 | Nursing Tip
OBJ: 6 TOP: Acute Urinary Tract Infection
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
, 3. Parents are speaking with the urologist about their son‘s undescended testicle. Which statement
by the child‘s father causes the nurse to determine he understands the information presented?
a. “An undescended testicle can reduce fertility.”
b. “The testicle usually descends spontaneously during the first month of life.”
c. “Surgical correction reduces the risk for testicular tumors.”
d. “The optimal time to surgically correct the condition is at diagnosis.”
ANS: A
Although orchiopexy improves the condition, the fertility rate among patients may be
reduced even when only one testis is undescended.
DIF: Cognitive Level: Application REF: p. 700 OBJ: 1 | 5
TOP: Cryptorchidism KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
DIF: Cognitive Level: Application REF: p. 697 OBJ: 9
TOP: Nephrotic Syndrome KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. Which statement made by a parent of a child with nephrotic syndrome indicates an understanding
of discharge teaching?
a. “I will make sure he gets his measles vaccine as soon as he gets home.”
b. “He can stop taking his medication next week.”
c. “I should check his urine for protein when he goes to the bathroom.”
d. “He should eat a low-protein diet for the next few weeks.”
ANS: C
The parents should be instructed to keep a daily record of the child‘s urinary proteins.
DIF: Cognitive Level: Application REF: p. 697 OBJ: 9
TOP: Nephrotic Syndrome KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection
of Disease
5. A 5-year-old boy is admitted to the hospital with acute glomerulonephritis. In taking the child‘s
history, what does the nurse recognize as the probable cause?
