INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 267
Chapter 29: The Child with a Genitourinary Condition
MULTIPLE CHOICE
1. The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child.
Which statement made by the parent indicates a need for further teaching?
a. My daughter should wash and wipe the perineal area from front to back.
b. I am only going to have my daughter wear cotton underwear.
c. It is acceptable to take frequent bubble baths.
d. She needs to drink lots of fluids and void frequently.
ANS: C
Oils in bubble bath and similar products are known to irritate the urethra.
DIF: Cognitive Level: Comprehension REF: Page 692
OBJ: N/A TOP: Acute Urinary Tract Infection
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. When asked about correcting the hypospadias of a newborn, what does the nurse explain about this
condition?
a. No intervention is necessary as the defect will correct itself over time.
b. Surgical repair of the hypospadias is done before 18 months of age.
c. Corrective surgery is usually delayed until the preschool age.
d. Repairing the defect will increase the risk of testicular cancer.
ANS: B
Treatment of hypospadias consists of surgical repair and is usually performed before 18 months of age.
DIF: Cognitive Level: Comprehension REF: Page 690
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TOP: Hypospadias KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. What is an initial sign of nephrosis that the nurse might note in a child?
a. Raspberry-like rash
b. Periorbital edema
c. Temperature elevation
d. Abdominal pain
ANS: B
The edema of nephrotic syndrome is generalized and not readily noticed, even by the parents, but an early sign
that can be assessed is periorbital edema.
DIF: Cognitive Level: Knowledge REF: Page 692
TOP: Nephrotic Syndrome KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
4. What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
a. Infection
b. Urinary retention
c. Easy bruising
d. Hypoglycemia
ANS: A
Prednisone depresses the immune response and increases susceptibility to infection. Because steroids mask
signs of infection, the child must be assessed for more subtle symptoms of illness.
DIF: Cognitive Level: Comprehension REF: Page 694
TOP: Nephrotic Syndrome KEY: Nursing Process Step: Data Collection
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:23 GMT -05:00
https://www.coursehero.com/file/63347255/TB-Chapter-29-The-Child-with-a-Genitourinary-Conditionpdf/
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, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 268
MSC: NCLEX: Physiological Integrity
5. During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been
retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis.
What action should the nurse implement?
a. Forcibly push the foreskin down over the head of the penis.
b. Place a warm compress on the penis.
c. Notify the charge nurse.
d. Wait a few hours and try again.
ANS: C
Notify the charge nurse of this occurrence of paraphimosis. The tight foreskin can impede blood flow to the
penis; this should be remedied immediately.
DIF: Cognitive Level: Application REF: Page 689
TOP: Paraphimosis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
6. A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is
the most appropriate nursing intervention for this child?
a. Providing activities for the child on restricted activity
b. Feeding the child a protein-restricted diet
c. Carefully handling edematous extremities
d. Observing the child for evidence of hypotension
ANS: A
Although children may feel well, activity is limited until hematuria resolves.
DIF: Cognitive Level: Application REF: Page 695
TOP: Acute Glomerulonephritis KEY: Nursing Process Step: Planning
NURSINGTB.COM
MSC: NCLEX: Physiological Integrity: Reduction of Risk
7. Which urinary diversion procedure is the least damaging to the body image of the adolescent?
a. Urostomy
b. Ileal conduit
c. Nephrostomy
d. Suprapubic placement
ANS: B
The ileal conduit diverts urine to the colon, and the urine is excreted with the feces. There is no external
appliance, as is needed with the other diversion methods.
DIF: Cognitive Level: Comprehension REF: Page 691
OBJ: 10 TOP: Obstructive UropathyUrinary Diversions
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get
immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on
prednisone?
a. Can interfere with the treatment for nephrosis
b. Require that the child have antibiotic coverage
c. Can be given in smaller, divided doses
d. Should be delayed
ANS: D
No vaccinations or immunizations should be administered while the disease is active and during
immunosuppressive therapy.
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:23 GMT -05:00
https://www.coursehero.com/file/63347255/TB-Chapter-29-The-Child-with-a-Genitourinary-Conditionpdf/
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 267
Chapter 29: The Child with a Genitourinary Condition
MULTIPLE CHOICE
1. The nurse discussed strategies with a parent to prevent a recurrence of urinary tract infection in the child.
Which statement made by the parent indicates a need for further teaching?
a. My daughter should wash and wipe the perineal area from front to back.
b. I am only going to have my daughter wear cotton underwear.
c. It is acceptable to take frequent bubble baths.
d. She needs to drink lots of fluids and void frequently.
ANS: C
Oils in bubble bath and similar products are known to irritate the urethra.
DIF: Cognitive Level: Comprehension REF: Page 692
OBJ: N/A TOP: Acute Urinary Tract Infection
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
2. When asked about correcting the hypospadias of a newborn, what does the nurse explain about this
condition?
a. No intervention is necessary as the defect will correct itself over time.
b. Surgical repair of the hypospadias is done before 18 months of age.
c. Corrective surgery is usually delayed until the preschool age.
d. Repairing the defect will increase the risk of testicular cancer.
ANS: B
Treatment of hypospadias consists of surgical repair and is usually performed before 18 months of age.
DIF: Cognitive Level: Comprehension REF: Page 690
NURSINGTB.COM
TOP: Hypospadias KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. What is an initial sign of nephrosis that the nurse might note in a child?
a. Raspberry-like rash
b. Periorbital edema
c. Temperature elevation
d. Abdominal pain
ANS: B
The edema of nephrotic syndrome is generalized and not readily noticed, even by the parents, but an early sign
that can be assessed is periorbital edema.
DIF: Cognitive Level: Knowledge REF: Page 692
TOP: Nephrotic Syndrome KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
4. What is it important to assess in a child receiving prednisone to treat nephrotic syndrome?
a. Infection
b. Urinary retention
c. Easy bruising
d. Hypoglycemia
ANS: A
Prednisone depresses the immune response and increases susceptibility to infection. Because steroids mask
signs of infection, the child must be assessed for more subtle symptoms of illness.
DIF: Cognitive Level: Comprehension REF: Page 694
TOP: Nephrotic Syndrome KEY: Nursing Process Step: Data Collection
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:23 GMT -05:00
https://www.coursehero.com/file/63347255/TB-Chapter-29-The-Child-with-a-Genitourinary-Conditionpdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 268
MSC: NCLEX: Physiological Integrity
5. During a physical assessment of a hospitalized 5-year-old, the nurse notes that the foreskin has been
retracted and is very tight on the shaft of the penis; the nurse is unable to return it over the head of the penis.
What action should the nurse implement?
a. Forcibly push the foreskin down over the head of the penis.
b. Place a warm compress on the penis.
c. Notify the charge nurse.
d. Wait a few hours and try again.
ANS: C
Notify the charge nurse of this occurrence of paraphimosis. The tight foreskin can impede blood flow to the
penis; this should be remedied immediately.
DIF: Cognitive Level: Application REF: Page 689
TOP: Paraphimosis KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
6. A 7-year-old child with acute glomerulonephritis has gross hematuria and has been confined to bed. What is
the most appropriate nursing intervention for this child?
a. Providing activities for the child on restricted activity
b. Feeding the child a protein-restricted diet
c. Carefully handling edematous extremities
d. Observing the child for evidence of hypotension
ANS: A
Although children may feel well, activity is limited until hematuria resolves.
DIF: Cognitive Level: Application REF: Page 695
TOP: Acute Glomerulonephritis KEY: Nursing Process Step: Planning
NURSINGTB.COM
MSC: NCLEX: Physiological Integrity: Reduction of Risk
7. Which urinary diversion procedure is the least damaging to the body image of the adolescent?
a. Urostomy
b. Ileal conduit
c. Nephrostomy
d. Suprapubic placement
ANS: B
The ileal conduit diverts urine to the colon, and the urine is excreted with the feces. There is no external
appliance, as is needed with the other diversion methods.
DIF: Cognitive Level: Comprehension REF: Page 691
OBJ: 10 TOP: Obstructive UropathyUrinary Diversions
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. The mother of a 5-year-old child taking prednisone for nephrotic syndrome tells the nurse he needs to get
immunizations to enter kindergarten. What does the nurse clarify about receiving immunizations while on
prednisone?
a. Can interfere with the treatment for nephrosis
b. Require that the child have antibiotic coverage
c. Can be given in smaller, divided doses
d. Should be delayed
ANS: D
No vaccinations or immunizations should be administered while the disease is active and during
immunosuppressive therapy.
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:23 GMT -05:00
https://www.coursehero.com/file/63347255/TB-Chapter-29-The-Child-with-a-Genitourinary-Conditionpdf/
NURSINGTB.COM
