GU Dysfunction

Question 1

Which population of kids are at high risk for UTI? (2)

Answer 1

Females and uncircumcised males

Question 2

What is the most common bacterial cause of UTIs

Answer 2

E. Coli

Question 3

What are some clinical manifestations of UTI? (7)

Answer 3

Fever
Hematuria
Dysuria
Urinary fequency/urgency
Foul smelling urine
Incontinence in a toilet trained child ( No infants)
Urinary stasis

Question 4

What are some urine collection techniques (5)

Answer 4

Cotton ball in diaper
Bagged specimens
Midstream clean catch
Suprapublic aspiration
Bladder catheterization

Question 5

Should there be these in a UA
Protien
Glucose
Kelton’s
WBCs
RBCs
Nitrites
Bacteria

Answer 5

No!

Question 6

What is vesicoureteral reflux (VUR)

Answer 6

Backflow of urine from bladder to ureters

Question 7

What are the types of reflux?

Answer 7

Primary - genetic malformation
Secondary- other issue- blockage, infection

Question 8

What is used to diagnosed VUR

Answer 8

Voiding csytourethrogram - contrast is injecting into the bladder and pics are taking before, during, and after voiding

Question 9

What needs to happen after VCUG?

Answer 9

Patient needs to hydrate and urinate because contrast is nephrtoxic

Question 10

What is a risk of VUR

Answer 10

Hydronephrosis

Question 11

What is a inguinal hernia

Answer 11

A portion of the abdominal content is protruding into the scrotum

Question 12

What is hyrdrocele

Answer 12

Fluid in the scrotum

Question 13

With the flashlight test, what happens if the patient has hydrocele

Answer 13

The testicle will light up

Question 14

What is phimosis

Answer 14

It’s stenosis of the foreskin

Question 15

What is hypospadias

Answer 15

A condition when the urethra opening is below or behind the glans of the penis

Question 16

Can you do a circumcision on a patient with hypospadias

Answer 16

Yes, but ask the surgeon. The tissue might be used in the surgical treatment of hypospadias

Question 17

What is cryptorcidism

Answer 17

Failure of the descension of the tests

Question 18

What is the surgical treatment for cryptorchidism?

Answer 18

Orchiopexy

Question 19

What are some patient teaching for a orchipexy (3)

Answer 19

NO tub baths for a few days
Catheter care
Activity restriction

Question 20

What are some clinical manifestations for nephrotic syndrome (5)

Answer 20

Weight gain- fluid rentention
Edema- fluid rentention
Proteinuria
Hypoalbumienemia
Hyperlipidemia

Question 21

What will patient’s with nephrotic syndrome UA look like (Dipstick)

Answer 21

Decreased output
Dark and frothy urine
Poteinuria- 2+

Question 22

What are some medical treatment for nephrotic syndrome? (3)

Answer 22

Corticosteroids
Furosemide
Albumin

Question 23

What are some nursing interventions for nephrotic syndrome (4)

Answer 23

Strict I&O
Daily weight
Abdominal circumference
VS

Question 24

What can cause glomerulonepthritis

Answer 24

Immune response to Strep and impetigo

Question 25

What are some clinical manifestations for acute glomerulonephritis (4)

Answer 25

Edema
Cloudy/tea colored urine
Protienuria- hemtaturia
HTN

Question 26

What are some dietary restrictions for glumerulonephritis?

Answer 26

no added salt
No salt subs.
No excessive K+

Question 27

What are the types of enuresis?

Answer 27

Primary- bedwetting in children who have never been dry
Secondary- the onset of wetting have after a period of established continence

Question 28

What are some nonpharmological treatment for bed wetting

Answer 28

Restrict fluids after dinner
Avoid caffeine and sugary drinks
Bed alarms

Question 29

What are some med treatment for bed wetting

Answer 29

Imipramine (tofranil) and desmopressin