GU Book

Question 1

do we have all the nephrons that we will ever have at birth

Answer 1

yes

Question 2

when does most renal growth occur

Answer 2

during 5 yearsi

Question 3

increase in renal size is due to

Answer 3

enlargement of nephrons

Question 4

under 2 years old what can the kidneys not do

Answer 4

regulate electrolyes/fluids

Question 5

infant UO

Answer 5

2mL/kg/hr

Question 6

child UO

Answer 6

1mL/kg/hr

Question 7

adol UO

Answer 7

40-80mL/hr

Question 8

bladder capacity formula

Answer 8

age + 2 = reserve in oz
(ex: 4 yr + 2 = 6oz)

Question 9

oz to mL

Answer 9

30mL

Question 10

when can they maintain bladder control

Answer 10

2 years

Question 11

UTI upper vs lower types

Answer 11

lower: cystitis and urethritis
upper: ureteritis and pyelonephritis

Question 12

common cause of UTI

Answer 12

e coli

Question 13

UTI s/s newborn

Answer 13

nonspecific
unexplained fever, failure to thrive, poor feeding, vomiting, strong smelling urine

Question 14

UTI s/s lower infant

Answer 14

fever, diarrhea, irritability, foul smelling diaper, poor feeding, failure to gain wt

Question 15

UTI s/s lower preschooler

Answer 15

hematuria, urgency, dysuria, frequency, cloudy urine, foul smelling urine, dehydration, abdominal pain

Question 16

UTI s/s lower school

Answer 16

hematuria, urgency, dysuria, frequency, cloudy urine, foul smelling urine, dehydration, abdominal pain

suprapubic or flank pain

Question 17

UTI s/s upper

Answer 17

high fever, chills, flank pain, CVA tenderness, moderate to severe dehydration

Question 18

UTI tx

Answer 18

antibiotics

Question 19

hydrospadias

Answer 19

congenital anomalies involving abdonral location of the urethral meatus
- ventral surface
- bottom

Question 20

hydrospadias with kids who are having a circumsizion what happens

Answer 20

its delayed

Question 21

hydrospadias when is it corrected

Answer 21

1 year
- 6-12 mo

Question 22

hydrospadias stent or catheter, why?

Answer 22

maintain patency of the new urethram canal opening

Question 23

hydrospadias what technique do we use post op

Answer 23

double diaper
- outer one for pee
- inner one for poop

Question 24

nephrotic syndrome

Answer 24

alteration in kidney function 2ndary to increase glomerular basement membrane
permeability to plasma protein

Question 25

nephrotic syndrome is this a specific disease

Answer 25

no, its a clinical state

Question 26

nephrotic syndrome
- primary vs secondary

Answer 26

primary: no idenfeiable cause
2ndary: 2nd to something

Question 27

nephrotic syndrome s/s

Answer 27

massive proteinuria
hypoalbumenia
hypoproteinemia
hyperlipidemia
altered immunity
hypercoag
periorbital edema when waking that resolves during the day as fluid shifts to abdominal and lower extremities
hypertension
hematuria
foamy and frothy urine

Question 28

nephrotic syndrome tx

Answer 28

steroids
- prednisone
lasix

Question 29

acute post infectious glomerulonephritis cause

Answer 29

GABS

Question 30

acute post infectious glomerulonephritis what is it

Answer 30

become ill after contracting an infection of the URT or skin

glomerular damage occurs as a result of an immune complex reaction that localizes on the glomerular capillary wall

antibody and antigen complexes become lodged in the glomeruli leading to inflammation and obstruction

resulting in decrease glomerular filtration rate and vascular permeability increases and allows RBC and casts to be extorted

Question 31

acute post infectious glomerulonephritis s/s

Answer 31

midabominal pain
irritability
fever
microscopic or gross hematuria
tea colors urine
mild periorbital edema
dependent edema
pulmonary congestion
hypertnesion
oliguria

Question 32

acute post infectious glomerulonephritis BUN

Answer 32

increase

Question 33

acute post infectious glomerulonephritis protein

Answer 33

decrease

Question 34

acute post infectious glomerulonephritis tx

Answer 34

bed rest
sodium restrictions and lasix
- HTN and edema
antibiotics for original infection