NURS 629 MVU EXAM 2 | 2025-2026 LATEST UPDATED| REAL EXAM
AND COMPLETE QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
3 kinds of UTI - (answer)1) Asymptomatic bacteriuria
2) Cystitis
3) Pyelonephritis
Asymptomatic bacteriuria: - (answer)bacteria in the urine w/o other symptoms
Cystitis - (answer)Infection of the bladder that produces lower tract symptoms but
does not cause fever or renal injury
Pyelonephritis - (answer)Severe UTI involving the renal parenchyma or kidneys;
potential for irreversible renal damage
S/S - fever, irritability, vomiting in an infant, and urinary symptoms associated w/ a
fever, bacteriuria, vomiting and renal tenderness in older children
,Main cause of UTI - (answer)E coli (70% of cases)
UTI diagnosis - (answer)1. Urine culture to confirm (>100,000 colonies in a clean
catch urine; or 10,000 colonies in a single pathogen and the child is symptomatic)
= UTI
2. UA - foul odor, cloudiness, nitrities, leukocytes, alkaline pH, proteinuria,
hematuria, pyuria, bacteriuria
3. CBC, ESR, CRP, BUN, and creatinine for children <1, appears ill or if pyelo is
suspected
UTI Prevention - (answer)wipe front to back, bathe in clean water, then wash child,
and get out; increase water; void after intercourse; frequent and complete voiding;
avoid bubble baths and perfumed soaps; wear cotton underwear; treat perineal
inflammation to prevent UTI; treat constipation; decrease caffeine, carbonated
beverages, chocolate, and citrus, aspartame, alcohol and spicy foods
UTI Treatment in uncomplicated cystitis - (answer)Uncomplicated cystitis:
children 2-24 months old and febrile children treated for 7-14 days
,a. Trimethoprim-sulfamethoxazole (if >2 mo old) 8-12 mg/kg in 2 doses;
adolescents - 160mg BID
b. Amoxicillin
c. Amoxicillin clavulanate
d. Cephalexin
e. Cefixime (if >6 mo old)
f. Cefpodoxime proxetil (if >2 mo old)
g. Ciprofloxacin (if >18 years) 500 mg once daily x3 days
h. Nitrofurantoin (if >1 mo)
UTI Treatment in Pyelonephritis - (answer)a. Hospitalization if dehydrated,
vomiting, or not drinking
b. If uncomplicated = well hydrated, no vomiting, no abdominal pain = cefixime,
ceftibuten, or amox clav
c. Adolescents w/ uncomplicated = amox clav or ciprofloxacin
, Treatment of recurrent UTI - (answer)Renal and bladder ultrasound, if not done
previously and voiding cystourethrogram (VCUG)
What is GER? - (answer)Refers to the passage of gastric contents into the
esophagus from the stomach through the LES; normal physiological process in
healthy individuals
What is GERD? - (answer)present when the reflux causes troublesome symptoms
and/or complications; most common esophageal disorder in children
GERD etiology - (answer)Inappropriate relaxation of LES w/ failure to prevent
gastric acid reflux into the esophagus, prolonged esophageal clearance of the
gastric refluxate, and impaired esophageal mucosal barrier function
1. Infants have increased intraabdominal pressure because of their inability to sit
upright; regurgitation is highest in the first month of life and decreases by 50% by
the 5th month of life
AND COMPLETE QUESTIONS AND ANSWERS | 100% RATED
CORRECT | 100% VERFIED | ALREADY GRADED A+
3 kinds of UTI - (answer)1) Asymptomatic bacteriuria
2) Cystitis
3) Pyelonephritis
Asymptomatic bacteriuria: - (answer)bacteria in the urine w/o other symptoms
Cystitis - (answer)Infection of the bladder that produces lower tract symptoms but
does not cause fever or renal injury
Pyelonephritis - (answer)Severe UTI involving the renal parenchyma or kidneys;
potential for irreversible renal damage
S/S - fever, irritability, vomiting in an infant, and urinary symptoms associated w/ a
fever, bacteriuria, vomiting and renal tenderness in older children
,Main cause of UTI - (answer)E coli (70% of cases)
UTI diagnosis - (answer)1. Urine culture to confirm (>100,000 colonies in a clean
catch urine; or 10,000 colonies in a single pathogen and the child is symptomatic)
= UTI
2. UA - foul odor, cloudiness, nitrities, leukocytes, alkaline pH, proteinuria,
hematuria, pyuria, bacteriuria
3. CBC, ESR, CRP, BUN, and creatinine for children <1, appears ill or if pyelo is
suspected
UTI Prevention - (answer)wipe front to back, bathe in clean water, then wash child,
and get out; increase water; void after intercourse; frequent and complete voiding;
avoid bubble baths and perfumed soaps; wear cotton underwear; treat perineal
inflammation to prevent UTI; treat constipation; decrease caffeine, carbonated
beverages, chocolate, and citrus, aspartame, alcohol and spicy foods
UTI Treatment in uncomplicated cystitis - (answer)Uncomplicated cystitis:
children 2-24 months old and febrile children treated for 7-14 days
,a. Trimethoprim-sulfamethoxazole (if >2 mo old) 8-12 mg/kg in 2 doses;
adolescents - 160mg BID
b. Amoxicillin
c. Amoxicillin clavulanate
d. Cephalexin
e. Cefixime (if >6 mo old)
f. Cefpodoxime proxetil (if >2 mo old)
g. Ciprofloxacin (if >18 years) 500 mg once daily x3 days
h. Nitrofurantoin (if >1 mo)
UTI Treatment in Pyelonephritis - (answer)a. Hospitalization if dehydrated,
vomiting, or not drinking
b. If uncomplicated = well hydrated, no vomiting, no abdominal pain = cefixime,
ceftibuten, or amox clav
c. Adolescents w/ uncomplicated = amox clav or ciprofloxacin
, Treatment of recurrent UTI - (answer)Renal and bladder ultrasound, if not done
previously and voiding cystourethrogram (VCUG)
What is GER? - (answer)Refers to the passage of gastric contents into the
esophagus from the stomach through the LES; normal physiological process in
healthy individuals
What is GERD? - (answer)present when the reflux causes troublesome symptoms
and/or complications; most common esophageal disorder in children
GERD etiology - (answer)Inappropriate relaxation of LES w/ failure to prevent
gastric acid reflux into the esophagus, prolonged esophageal clearance of the
gastric refluxate, and impaired esophageal mucosal barrier function
1. Infants have increased intraabdominal pressure because of their inability to sit
upright; regurgitation is highest in the first month of life and decreases by 50% by
the 5th month of life
