Theory Notes Questions with 100 %
Correct Answers Grade A+ Galen
(Latest )
Introduction:
This document contains the complete theory notes and exam
question bank for NU 171 Maternal Child Nursing Exam 2 at Galen
College of Nursing for the academic year 2025/2026. It covers
pediatric, obstetric, and maternal health topics with 100% verified
correct answers, including urinary, musculoskeletal,
gastrointestinal, endocrine, integumentary, and communicable
diseases, as well as detailed maternal-newborn nursing content.
The notes are organized in a question-and-answer format for
efficient studying and review. This is a comprehensive resource
aligned with course requirements and exam preparation.
Exam Questions and Answers:
1. Phimosis and Paraphimosis--- correct answer --- -Phimosis; A
narrowing of the preputial opening of the foreskin
-Paraphimosis; foreskin cannot return to normal position once
retracted
2. Hypospadias--- correct answer --- -Congenital defect in males
,-Nursing assessments/S&S: Meatus abnormally placed on underside
(ventral) sur- face. May be associated with chordee
3. Hypospadias; Treatment and Nursing care--- correct answer -
-- -Surgical repair
-NO CIRCUMCISION
-Nursing diagnosis: Altered urinary elimination, body image
disturbance
-Postoperative Nursing Care: Double diaper, no straddling infant on
hip
4. Epispadias--- correct answer --- -congenital defect in which
the urinary meatus is located on the upper surface of the penis
-Surgical repair/Exstrophy of the bladder
5. UTI--- correct answer --- -Urinary tract infection
-Usually caused by E-coli 75-90% of time
-Nursing assessment/S&S: Infants~Fever, polyuria, strong smelling
urine, persistent diaper rash, poor appetite, diarrhea, vomiting and
irritability. Older child~Fever, polyuria, enuresis, abdominal pain,
hematuria, and strong smelling urine.
-Iv antibiotics and increase fluid intake
-Nursing care: Assess for history of recurrent UTIs, collect urine
specimens, adminis- ter, increased fluid intake, infants;with more
than 3 UTIs a year place on prophylactic antibiotics, reflux; may
need further procedures/surgery
,6. UTI; Nursing care--- correct answer --- -Family education:
Educate on completing antibiotic therapy, follow up care, monitor
for recurrence, instruct on prevention and S&S of recurrence.
-Preventative measures for UTI: showers instead of baths, no
bubble baths, no perfumes or powders, wipe front to back, void
frequently, cotton underwear, loose fitting pants, increase fluids,
adolescent-sexually active
7. Acute Post Streptococcal Glomerulonephritis Treatment and
nursing care-
--- correct answer --- -Activity
-Examine Urine
-I's & O's
-Frequent VS
-Weights
-Restrict Na and fluids in diet, monitor potassium in diet during
oligaria
-Monitor VS and for signs of CHF renal failure and ICP
-Medication administration
8. wilms' tumor nursing care--- correct answer --- -NO
ABDOMINAL PALPATION
- could aid in metastasis
Pre-op care: Diagnostics (IV pyelogram), Abdominal palpation,
Monitor BP, Possible pre-op chemo, surgery and nephrectomy
, Post-op care: Monitor VS, Monitor kidney function, NG tube, Bowel
sounds, Chemo/radiation treatment, Avoid contact sports.
9. Enuresis--- correct answer --- -Involuntary urination after age
at which bladder control should have been established.
-Bed wetting causes: small bladder,uti,sound sleepers, diabetes
-Psychological: Rigorous toilet training too early, regression,
emotional stress, sex- ual abuse
-Treatment: Rule out causes, awaken through night, limit fluids,
alarms, bladder regimen, reward system, medicate
10. Childhood Differences in the musculoskeletal--- correct
answer --- -Long bones grow until age 20
-Secondary ossification- cartilage cells replaced by osteoblast
-Bones are more porous and less dense
-Rapid bone growth: facilitates healing and growing pains
11. Fracture and Soft-Tissue Injury--- correct answer --- -
Epiphyseal injuries
-Weakest point of long bones is the cartilage growth plate
(epiphyseal plate)
-Frequent site of damage during trauma
-May affect future bone growth
-Treatment may include open reduction and internal fixation to
prevent growth disturbance