Peds Exam #4 UPDATED ACTUAL
Questions and CORRECT Answers
UTI: parent/child teaching guidance - CORRECT ANSWER -- Voiding regularly
- Fluids
Hygiene
- Avoid bath bubbles
- Know signs and symptoms of UTI
- Urinate after sex (teens)
- High fiber diet
- Treatment: Antibiotics, Phenazopyridine (for urinary pain relief)
Urinalysis vs. urine culture - CORRECT ANSWER --Urinalysis: tests for positive nitrates and
leukocytes, which indicates infection
- Urine culture: checks for specific organism and antibiotic sensitivities
voiding cystourethrogram (VCUG) - CORRECT ANSWER -observes the flow of urine during
urination (may see urine backflowing, which is leading to the infection)
Enuresis and treatment - CORRECT ANSWER -- Incontinence past the age of toilet training
- Assess for asymptomatic UTI
- Fluid restriction
- Bladder exercises
- Timed voiding
- Enuresis alarms
- Antidiuretic hormones
- Tricyclic antidepressants
- Anticholinergics
, Constipation and treatment - CORRECT ANSWER -- Constipation increases risk for voiding
dysfunction and UTI because the bladder cannot empty when constipated
- Increased intake of fruit and fiber
- Increase water and fluid intake
- Prune juice if no bowel movement in 2 days
- Osmotic laxative if necessary and approved by provider
Acute post streptococcal glomerulonephritis (s/sx) - CORRECT ANSWER -- inflammation of the
glomeruli following exposure to group A beta hemolytic step
- latency period of 1-2 weeks before symptoms appear
- Gross hematuria (appears smoky)
- Proteinuria
- Edema
- Hypertension
*Important to maintain BP and fluid volume status
Nephrotic syndrome s/sx - CORRECT ANSWER -- Nephrotic syndrome is excessive excretion of
protein in urine resulting form damaged glomeruli
-Proteinuria
-Hypoalbuminemia
-Hyperlipidemia
-Edema
-Massive urinary protein loss
-Thrombus
-Foamy urine
Nephrotic syndrome tx - CORRECT ANSWER -- Corticosteroids
-Decrease edema, proteinuria
-Manage sx
Questions and CORRECT Answers
UTI: parent/child teaching guidance - CORRECT ANSWER -- Voiding regularly
- Fluids
Hygiene
- Avoid bath bubbles
- Know signs and symptoms of UTI
- Urinate after sex (teens)
- High fiber diet
- Treatment: Antibiotics, Phenazopyridine (for urinary pain relief)
Urinalysis vs. urine culture - CORRECT ANSWER --Urinalysis: tests for positive nitrates and
leukocytes, which indicates infection
- Urine culture: checks for specific organism and antibiotic sensitivities
voiding cystourethrogram (VCUG) - CORRECT ANSWER -observes the flow of urine during
urination (may see urine backflowing, which is leading to the infection)
Enuresis and treatment - CORRECT ANSWER -- Incontinence past the age of toilet training
- Assess for asymptomatic UTI
- Fluid restriction
- Bladder exercises
- Timed voiding
- Enuresis alarms
- Antidiuretic hormones
- Tricyclic antidepressants
- Anticholinergics
, Constipation and treatment - CORRECT ANSWER -- Constipation increases risk for voiding
dysfunction and UTI because the bladder cannot empty when constipated
- Increased intake of fruit and fiber
- Increase water and fluid intake
- Prune juice if no bowel movement in 2 days
- Osmotic laxative if necessary and approved by provider
Acute post streptococcal glomerulonephritis (s/sx) - CORRECT ANSWER -- inflammation of the
glomeruli following exposure to group A beta hemolytic step
- latency period of 1-2 weeks before symptoms appear
- Gross hematuria (appears smoky)
- Proteinuria
- Edema
- Hypertension
*Important to maintain BP and fluid volume status
Nephrotic syndrome s/sx - CORRECT ANSWER -- Nephrotic syndrome is excessive excretion of
protein in urine resulting form damaged glomeruli
-Proteinuria
-Hypoalbuminemia
-Hyperlipidemia
-Edema
-Massive urinary protein loss
-Thrombus
-Foamy urine
Nephrotic syndrome tx - CORRECT ANSWER -- Corticosteroids
-Decrease edema, proteinuria
-Manage sx
