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TWU Pedi GU

Total questions: 8

Worksheet time: 16mins

Name
Class
Date
1.

The nurse interviews the parents of a child recently diagnosed with glomerulonephritis. The nurse understands that which information collected during the assessment is most often associated with glomerulonephritis?

a)

Streptococcal throat infection 2 weeks prior to infection

b)

Child fell off a bike and hit kidneys directly

c)

Nausea and vomiting for the last 24 hours

d)

Urticaria and itching 2 weeks prior to diagnosis

2.

A nurse is preforming an admission assessment on a 2-year old child diagnosed with nephrotic syndrome. The nurse knows that the most common characteristic associated with nephrotic syndrome is:

a)

Frank red blood in urine

b)

Generalized edema

c)

Increased urinary output

d)

Hypertension

3.

A nurse is assigned to care for a child suspected of having glomerulonephritis. The nurse reviews the child's record and notes which finding as being associated with the diagnosis of glomerulonephritis?

a)

Low blood urea nitrogen

b)

Hypotension

c)

Low urinary specific gravity

d)

Red-brown urine

4.

A nurse is preparing a 2-year old child with suspected nephrotic syndrome for diagnostic tests to confirm. The mother asks if the child will ever look thin again. The nurse most appropriately responds by telling the mother:

a)

"Wearing loose fitting clothing will help conceal the extra weight."

b)

In most cases, medication and diet will control the fluid retention."

c)

"Do you feel guilty because you didn't notice the weight gain?"

d)

"When children are little, it's expected they'll look a little chubby."

5.

A 7-year-old child is seen in the clinic, and the provider notes a diagnosis of primary nocturnal enuresis. The mother asks the nurse about the diagnosis. The nurse plans to respond, knowing that primary nocturnal enuresis:

a)

Requires surgical intervention to improve the problem

b)

Is caused by a psychiatric problem

c)

Is a common problem that most children will outgrow without therapeutic intervention

d)

Does not respond well to treatment

6.

A nurse collects a urine specimen preoperatively from a child with epispadias who is scheduled for surgical repair. When the nurse is analyzing the results of the urinalysis, which of the following would the nurse most likely expect to note?

a)

Hematuria

b)

Proteinuria

c)

Bacteriuria

d)

Glucosuria

7.

An 18-month-old child is being discharged following surgical repair of hypospadias. Which post-operative nursing care measure should the nurse stress to the parents as they prepare to take this child home?

a)

Encourage toilet training to ensure that the flow of urine is normal.

b)

Restrict fluid intake to reduce urinary output for the first few days.

c)

Avoid tub baths until the stent has been removed.

d)

Leave the diapers off to allow the site to heal.

8.

A nurse is caring for a neonate with a diagnosis of bladder exstrophy. To protect the exposed bladder tissue, the nurse plans to:

a)

Cover the bladder with petroleum jelly gauze.

b)

Keep the bladder dry with dry sterile gauze.

c)

Cover the bladder with nonadhering plastic wrap.

d)

Apply sterile distilled water dressings over the bladder mucosa.