Ch 46 UTI book key points

Question 1

Many urinary tract disorders, such as polycystic kidneys, urethral obstruction, and bladder exstrophy, are often evident on a prenatal ultrasound. Early identification on fetal ultrasound allows therapy to begin __.

Answer 1

in utero or immediately after birth

Question 2

Many urinary tract disorders, such as polycystic kidneys or chronic renal failure, are long-term conditions requiring years of therapy. Be certain parents are ___.

Answer 2

well informed about their child’s condition so they can continue to participate in planning their child’s care that not only meets QSEN competencies but also best meets the family’s total needs

Question 3

UTI tends to occur more often in __.

Answer 3

girls than boys.

“Honeymoon cystitis” refers to a UTI occurring after the first instance of sexual intercourse.

Preventing recurrent infections is important in order to prevent damage to the lining of the bladder, bacterial colonization of the bladder, and long-term renal damage.

Question 4

Vesicoureteral reflux

Answer 4

the backflow of urine into one or both ureters with voiding because the valve that guards the entrance to the ureters is lax or the ureters insert too low in the bladder. Surgical correction may be necessary.

Question 5

Acute (poststreptococcal) glomerulonephritis

Answer 5

is inflammation of the glomeruli after a streptococcal infection. It is characterized by an acute episode of hematuria and proteinuria but typically runs a short-term course.

Question 6

Nephrotic syndrome

Answer 6

is an immunologic process that results in altered glomerular permeability and can lead to a self-limiting or long-term course.