Pediatric Genitourinary Disorders NUR 2310

Question 1

A parent it concerned about his 7 yr son’s bed wetting. he tried all the home remedies but to no avail. what medication would be given?
A. albuterol
b. chlorohexidine
C. desmopressin

Answer 1

Medications may be prescribed, oxybutynin, imipramine and desmopressin

Question 2

what are the anotomic causes of UTIs?

Answer 2

Short urethra in girls
Uncircumcised males

Question 3

what organism usually causes UTIs?
A.cholera
B. Zicka
C. escherichia coli

Answer 3

Escherichia coli is the most common pathogen (80% of cases), followed by Streptococci
Staphylococcus saprophyticus
Occasionally, fungal and parasitic pathogens

Question 4

what are the SS of UTIs in children

Answer 4

Symptoms vary depending on age
Urinary frequency
Fever in some cases
Odiferous urine
Blood or blood-tinged urine
Even with significant bacteria, a pediatric patient may have no symptoms or nonspecific symptoms such as fatigue or anorexia

Question 5

A nurse suspescts the child to have a UTI. what diagnostic test would be used to get imidiate results.

A. Microscopic urinalysis
B. Dipstick
C. Culture

Answer 5

Dipstick

Question 6

The 4 yr has UTI. the doctor prescribes Amoxicillin for the child. what is wrong with this prescription?

Answer 6

Amoxicillin is for older children

Trimethoprim-sulfamethoxazole (TMP-SMX) or nitrofurantoin [not for infants and young children]
Amoxicillin [older children]**
Cephalexin
Others, such as gentamycin or carbenicillin
Pyridium (over-the-counter medication)
Combination agents (e.g., Urised) are used to relieve pain
Preparations with methylene blue tint

Question 7

the parents of a newborn comes to the health checkup complaining that the shaft of their son’s penis had a hard time retracting. they pulled it downw but now it wont pull up. what is this condition?

a. Epispadias
b. skin traction
c. Phimosis

Answer 7

A narrowing of the preputial opening of the foreskin
Prevents foreskin from being retracted over penis
Corrected by circumcision
Forcible retraction of tight foreskin is avoided because it can lead to paraphimosis
Foreskin cannot be returned to its normal position
Swelling and impaired circulation caused by constriction

Question 8

the father is proud and states “my son has a bigger pair than I did when I was born”. what should the nurse do to asses the child?

a. palpate the scrotum
b. place pen light on the scrotum
c. aspirate the scrotum

Answer 8

place pen light on the scrotum