NR 327
NR 327 Maternal-Child Nursing OB-Pediatrics
Final Exam Questions and Answers Graded A+
2025
What is VCUG/VCG?
Diagnostic study for genitourinary dysfunction
voiding cystourethrogram-visualize bladder and renal structures
How much urine should a newborn produce?
1 ml/kg/hr
How much urine should a child produce?
1-2 ml/kg/hr
What do children often complain about when they have a UTI?
Often complain of a stomach ache
What can Frequent UTI's (especially in girls) be a sign of?
may be an early sign of DM
What are you likely to find during a nursing assessment of a child with a UTI?
abdominal pin, enuresis, nausea, vomiting, anorexia, chills, frequency, urgency, low-
grade fever
Suprapubic or lower back pain, bladder spasms, dysuria, burning on urination
infants-irritable, cry when voiding, n/v/d, poor feeding
What might a fever, and diper rash in an infant indicate?
might indicate concentrated urine or the diaper irritates the child
What is vesicouretral reflux? (VUR) how is it treated?
NR 327
,NR 327
ureters are not inserted correctly into the bladder
If it is a narrowing they might place a stint
Child is in significant pain so meds around the clock, they have a folly after surgery and
it often has lots of blood in it
Some children might outgrow it
What is hypospadias? Epispadius? How is a circumcision performed for these children?
Hypospadius-urethral opening located behind glans penis, on the underside of penis
Epispadius-urethral opening on the top side of penis
No circumcision-foreskin is used to close up anomaly and create a new urethra opening
What is nephrotic syndrome? What causes it
he most common presentation of glomerular injury in children ages 1.5-5
Unknown etiology-thought to be autoimmune
What are three big assessment pieces you will find with nephrotic syndrome?
Dark, frothy Urine
Edema-eyes/periorbital is 1st place you see edema in peds
proteinureia-large loses of protein in urine (especially albumin)
hyperlipidemia (unknown cause)
NR 327
, NR 327
How is nephrotic syndrome treated?
Daily weights, strict I&O's Hydration, meds as prescribed-abx diuretics, corticosteroids
What is APSGN/AGN?
Acute poststreptococcal glomerulonephritis/acute glomerulonephritis
noninfections renal disease
onsiet 5-12 das after OTHER type of infection
Mst common in 6-7 year olds
What are 6 major symptoms of APSGN/AGN?
Generalized edema du to decreased glomerular filtration
Decreased urine output
Hematuria-bleeding in upper urinary tract, resulting in smokey, dark, rust-colored or
"coke" urine (not in nephrotic syndrome)
proteinuria
hypertension
fatigue
How does APSGN/AGN compare to nephrotic syndrome?
APSGN/AGN=generalized edema, hematuria, coke colored, hypertension=more
aggressive damage to the kidneys done than nephrotic syndrome, scarring seen earlier
on
Nephrotic syndrome-facial edema, dark/frothy urine
What is a wilms tumor, what causes it, what group does it occur most often in and at
what age is it usually diagnoses?
NR 327
NR 327 Maternal-Child Nursing OB-Pediatrics
Final Exam Questions and Answers Graded A+
2025
What is VCUG/VCG?
Diagnostic study for genitourinary dysfunction
voiding cystourethrogram-visualize bladder and renal structures
How much urine should a newborn produce?
1 ml/kg/hr
How much urine should a child produce?
1-2 ml/kg/hr
What do children often complain about when they have a UTI?
Often complain of a stomach ache
What can Frequent UTI's (especially in girls) be a sign of?
may be an early sign of DM
What are you likely to find during a nursing assessment of a child with a UTI?
abdominal pin, enuresis, nausea, vomiting, anorexia, chills, frequency, urgency, low-
grade fever
Suprapubic or lower back pain, bladder spasms, dysuria, burning on urination
infants-irritable, cry when voiding, n/v/d, poor feeding
What might a fever, and diper rash in an infant indicate?
might indicate concentrated urine or the diaper irritates the child
What is vesicouretral reflux? (VUR) how is it treated?
NR 327
,NR 327
ureters are not inserted correctly into the bladder
If it is a narrowing they might place a stint
Child is in significant pain so meds around the clock, they have a folly after surgery and
it often has lots of blood in it
Some children might outgrow it
What is hypospadias? Epispadius? How is a circumcision performed for these children?
Hypospadius-urethral opening located behind glans penis, on the underside of penis
Epispadius-urethral opening on the top side of penis
No circumcision-foreskin is used to close up anomaly and create a new urethra opening
What is nephrotic syndrome? What causes it
he most common presentation of glomerular injury in children ages 1.5-5
Unknown etiology-thought to be autoimmune
What are three big assessment pieces you will find with nephrotic syndrome?
Dark, frothy Urine
Edema-eyes/periorbital is 1st place you see edema in peds
proteinureia-large loses of protein in urine (especially albumin)
hyperlipidemia (unknown cause)
NR 327
, NR 327
How is nephrotic syndrome treated?
Daily weights, strict I&O's Hydration, meds as prescribed-abx diuretics, corticosteroids
What is APSGN/AGN?
Acute poststreptococcal glomerulonephritis/acute glomerulonephritis
noninfections renal disease
onsiet 5-12 das after OTHER type of infection
Mst common in 6-7 year olds
What are 6 major symptoms of APSGN/AGN?
Generalized edema du to decreased glomerular filtration
Decreased urine output
Hematuria-bleeding in upper urinary tract, resulting in smokey, dark, rust-colored or
"coke" urine (not in nephrotic syndrome)
proteinuria
hypertension
fatigue
How does APSGN/AGN compare to nephrotic syndrome?
APSGN/AGN=generalized edema, hematuria, coke colored, hypertension=more
aggressive damage to the kidneys done than nephrotic syndrome, scarring seen earlier
on
Nephrotic syndrome-facial edema, dark/frothy urine
What is a wilms tumor, what causes it, what group does it occur most often in and at
what age is it usually diagnoses?
NR 327
