Chapter 39 GU

Question 1

Fever; nausea/vomiting; foul-smelling urine; weight loss; increased urination
More common: Females than males (after 4 months of life); “diaper age”; ages 2 to 6

Answer 1

UTI

Question 2

Involuntary urination beyond the age when control of urination commonly is acquired

Answer 2

Enuresis

Question 3

age of wetting the bed

Answer 3

5 to 7 years of age: Normal age of complete nighttime control
9 or 10 years of age: Occasional bed-wetting may be seen

Question 4

causes of enuresis

Answer 4

Physiologic or psychological cause
Physiologic causes
Small bladder capacity
Urinary tract infection
Deep sleep 
Psychological causes
Emotional stress: Precipitating factor?
Rigorous toilet training; resentment or regression
Can be symptom of sexual abuse

Question 5

Allergic reaction to specific infection (group A beta-hemolytic streptococcal

Answer 5

Acute Glomerulonephritis

Question 6

Clinical manifestations Acute Glomerulonephritis

Answer 6

Clinical manifestations
Presents with grossly bloody urine
Fever
Oliguria
Treatment
Limit activities
Penicillin (to eradicate existing infection)

Question 7

nursing care for Acute Glomerulonephritis

Answer 7

Nursing care
Bed rest
Strict I&O
Follow fluid restriction parameters 
Blood pressure should be monitored regularly
Daily weight
Regular urine testing (dipstick)

Question 8

is a group of symptoms that include protein in the urine, low blood protein levels, high cholesterol levels, high triglyceride levels, and swelling.

Answer 8

nephrotic syndrome

Question 9

clinical manesfestations of nephrotic syndrome

Answer 9

Presenting edema (eyes, ankles) progresses to generalized; appetite loss; irritability
Diagnosis: Urinalysis

Question 10

most commmon form of nephrotic syndrome in children

Answer 10

Lipoid nephrosis

Question 11

Adenosarcoma in the kidney region

Tumor rarely discovered until large enough for palpation through abdominal wall

Answer 11

Wilms tumor

One of most common abdominal neoplasms of early childhood
Disseminates to other parts of body via kidney or renal vein
Visibly posted sign: Avoid abdominal palpation
Treatment: Surgical removal, radiation, chemotherapy

Question 12

Collection of peritoneal fluid that accumulates in the scrotum

Answer 12

hydrocele

Question 13

One or both of the testes do not descend

Answer 13

Cryptorchidism

Question 14

s/s of premenstrual syndrome

Answer 14

Edema, headache, increased anxiety, mild depression, mood swings