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Mgmt PEDS > GU - PP > Flashcards

GU - PP Flashcards

1
Q

cryptorchidism is a fancy word for

A

undescended testes

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2
Q

when do we assess for cryptorchidism

A

during our newborn assessment

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3
Q

when would the testes spontaneously descend into scrotal sack

A

3 months without intervention

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4
Q

why would we need to ensure testes descend

A

increased risk for testicular cancer later in life

increased temperature - affect on healthy sperm

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5
Q

it is rare for testes, once descended, to revert back t or f

A

true - very uncommon

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6
Q

dx for cryptorchidism

A

ultra sound - CT scan - location purposes

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7
Q

trt for cryptorchidism

A

orchiopexy

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8
Q

what happens in an orchiopexy

A

stitch in abdomen/testes - pull testes into scrotum

post-op stitches in abdomen/scrotum

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9
Q

is an orchiopexy an outpatient procedure

A

yes

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10
Q

when is an orchiopexy performed (age)

A

usually between 6-24 months

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11
Q

true absence of testes is rare t or f

A

true - would be caused by testosterone deficiency

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12
Q

what population is cryptorchidism commonly seen in?

A

preemies - just hasn’t happened yet

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13
Q

post op care of cryptorchidism/orchiopexy

A 
wound care 
protect area from injury/infection
change diaper often
antibiotic ointment
pain control
no tub baths (2-3 days); give sponge baths
double diaper
no hip placement holding (positional)
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14
Q

hypospadias is what type of defect?

A

congenital defect

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15
Q

manifestation of hypospadias

A

malformation of urethra - below normal placement (ventral side of penal shaft)
altered urine stream - down and straight
chordee

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16
Q

increased risk for this with hypospadias

A

congenital (father or sibling affected?)

inguinal hernia

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17
Q

cause of hypospadias

A

unknown

18
Q

when does hypospadias occur

A

9-12 weeks of development

19
Q

what is chordee?

A

curvature of the penis

20
Q

what can happen with chordee?

A

difficulty with erection

21
Q

correction of chordee

A

surgery to lengthen the urethra

done at 6-12 months (prior to toilet training/body image)

22
Q

should we circumcise a child presenting with chordee

A

no - use foreskin to help lengthen penis/making urethra

23
Q

post surgery care/trt for chordee surgery

A

catheter left in urethra so urine doesn’t hit incision area (stitched to head of penis)
double diaper to protect from injury to area
no straddling
no rough housing
no tub baths

24
Q

when will catheter be removed post chordee surgery

A

7-10 days post-op

25
Q

when will we dx/identify hypospadias

A

newborn assessment
assessing stream/dribbling
family hx

26
Q

what happens in bladder extrophy

A

gastroschisis (opening) - protrusion of bladder through the abdominal wall
ureters might not be connected

27
Q

manifestations of bladder extrophy

A

may not get full use of bladder
penis size is shorter in males
may not have vaginal opening or narrowing in girls
may never get full fxn of bladder/lifetime incontinence

28
Q

treatment for bladder extrophy

A

many surgeries - first within 1st 48 hours

29
Q

what interventions are necessary in bladder extrophy if you don’t get full use of the bladder

A

urostomy

urinary diversion

30
Q

pre-op care for bladder extrophy surgery

A

cover exposed organs (protection)

31
Q

can bladder extrophy be detected by ultrasound

A

yes- may be present on delivery as well

32
Q

those with bladder extrophy are at an increased risk for

A

*cancer (bladder, colon)

urine prolapse in women

33
Q

the most common kidney tumor of childhood

A

wilms tumor

34
Q

dx of wilms tumor

A

CT/MRI/US of abdomen
images to check for metastasis (chest CT)
labs

35
Q

manifestation of wilms tumor

A

swelling in abdomen

36
Q

standard treatment for wilms tumor

A

*surgery and chemo

37
Q

chemo trt for wilms tumor starts/lasts for?

A

always after surgery
lasting 6-15 months
sometimes before surgery

38
Q

will pt. with wilms tumor receive radiation

A

sometimes for shrinking tumor - but standard is surgery and chemo

39
Q

wilms tumor has one of the highest survival rates among childhood cancers, t or f?

A

true

40
Q

nursing care for wilms tumor

A

**DO NOT PALPATE TUMOR
KEEP TUMOR ENCAPSALATED - BEST THING FOR SURVIVAL
Monitor BP r/t renal artery compression

41
Q

preschoolers have difficulty understanding chemotherapy trt since it makes them feel so sick, t or f

A

true

42
Q

single kidney concerns

A

**NO CONTACT SPORTS
trauma to the remaining kidney
wear bracelet to identify pt. as having a single kidney
peak and troth for therapeutic range (medication)

Mgmt PEDS (21 decks)

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