C HAPTER 29: T HE C HILD WITH A
G ENITOURINARY C ONDITION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. Parents are speaking with the urologist about their sons undescended
testicle. Which statement by the childs father causes the nurse to
determine he understands the information presented?
a. An undescended testicle can reduce fertility.
b. The testicle usuall y descends spontaneousl y during the first month
of life.
c. Surgical correction reduces the risk for testicular tumors.
d. The optimal time to surgicall y correct the condition is at diagnosis.
ANS: A
Although orchiopex y improves the condition, the fertilit y rate among
patients may be reduced even when onl y one testis is undescended.
DIF: Cognitive Level: Application REF: Page 698 TOP:
Cryptorchidism KEY: Nursing Process Step: Evaluation
MSC: NC LEX: Physiological Integrit y: Physiological
Adaptation
,2. A parent tells the nurse that her child is scheduled for an x -ray of the
bladder and urethra that is done while the child is urinati ng. What is this
test known as?
a. Cystometrogram
b. Cystoscopy
c. Voiding cystourethrogram
d. Intravenous pyelogram
ANS: C
An x-ray examination of the bladder and urethra before and during
micturition is called a voiding cystourethrogram.
DIF: Cognitive Level: Com prehension REF: Page 692
TOP: Diagnostic Procedures KEY: Nursing Process
Step: Planning MSC: NC LEX: Physiological Integrit y
3. A 6-year-old child with daytime enuresis complains of dysuria and
urgency. What does the nurse recognize these signs and sympt oms
indicate?
a. Urinary tract infection
b. Nephrotic syndrome
c. Acute glomerulonephritis
d. Vesicoureteral reflux
ANS: A
Urinary frequency and pain during micturition are symptoms of acute
urinary tract infection.
, DIF: Cognitive Level: Comprehension REF: Page 691
TOP: Acute Urinary Tract Infection KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Prevention and Earl y Detection of
Disease
4. What is an appropriate intervention for the edematous child with reduced
mobilit y related to nephrotic syndrome?
a. Reach the child to minimize body movements.
b. Change the childs position frequentl y.
c. Keep the head of the childs bed flat.
d. Keep edematous areas moist and covered.
ANS: B
The child should be turned frequentl y to prevent respira tory tract
infection and to prevent pressure on delicate skin.
DIF: Cognitive Level: Application REF: Page 694 TOP:
Nephrotic S yndrome KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y:
Reduction of Risk
5. Which statement m ade 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 whe n he goes to the bathroom.
G ENITOURINARY C ONDITION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. Parents are speaking with the urologist about their sons undescended
testicle. Which statement by the childs father causes the nurse to
determine he understands the information presented?
a. An undescended testicle can reduce fertility.
b. The testicle usuall y descends spontaneousl y during the first month
of life.
c. Surgical correction reduces the risk for testicular tumors.
d. The optimal time to surgicall y correct the condition is at diagnosis.
ANS: A
Although orchiopex y improves the condition, the fertilit y rate among
patients may be reduced even when onl y one testis is undescended.
DIF: Cognitive Level: Application REF: Page 698 TOP:
Cryptorchidism KEY: Nursing Process Step: Evaluation
MSC: NC LEX: Physiological Integrit y: Physiological
Adaptation
,2. A parent tells the nurse that her child is scheduled for an x -ray of the
bladder and urethra that is done while the child is urinati ng. What is this
test known as?
a. Cystometrogram
b. Cystoscopy
c. Voiding cystourethrogram
d. Intravenous pyelogram
ANS: C
An x-ray examination of the bladder and urethra before and during
micturition is called a voiding cystourethrogram.
DIF: Cognitive Level: Com prehension REF: Page 692
TOP: Diagnostic Procedures KEY: Nursing Process
Step: Planning MSC: NC LEX: Physiological Integrit y
3. A 6-year-old child with daytime enuresis complains of dysuria and
urgency. What does the nurse recognize these signs and sympt oms
indicate?
a. Urinary tract infection
b. Nephrotic syndrome
c. Acute glomerulonephritis
d. Vesicoureteral reflux
ANS: A
Urinary frequency and pain during micturition are symptoms of acute
urinary tract infection.
, DIF: Cognitive Level: Comprehension REF: Page 691
TOP: Acute Urinary Tract Infection KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Prevention and Earl y Detection of
Disease
4. What is an appropriate intervention for the edematous child with reduced
mobilit y related to nephrotic syndrome?
a. Reach the child to minimize body movements.
b. Change the childs position frequentl y.
c. Keep the head of the childs bed flat.
d. Keep edematous areas moist and covered.
ANS: B
The child should be turned frequentl y to prevent respira tory tract
infection and to prevent pressure on delicate skin.
DIF: Cognitive Level: Application REF: Page 694 TOP:
Nephrotic S yndrome KEY: Nursing Process Step:
Implementation MSC: NC LEX: Physiological Integrit y:
Reduction of Risk
5. Which statement m ade 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 whe n he goes to the bathroom.
