TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
NURS 651 EXAM 3 MARYVILLE UNIVERSITY LATEST
2024-2025 ACTUAL EXAM 150 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES
UTI: Defintion - Answer✔️✔️-Includes bladder, (cystitis) urethera (urethritis) and kidney
(pyelonephritis)
Signs and symptoms of UTI - Answer✔️✔️--Fever may be only sign infants a & young
child
-Older children=urinary symptoms ( new onset incontinence, dysuria, frequency,
abdominal pain
Risk factors of UTI - Answer✔️✔️-FEMALE, Uncircumcised male, GENETICS,
(Anatomy), BOWEL/BLADDER Dysfunction, Obstruction, Catheterization, SEX, Reflux
Exam for UTI - Answer✔️✔️-Temp, BP, abd exam for mass, tenderness. suprapubic or
costovertebral tenderness, check external genitalia, eval lower back for signs of occult
myelomeningiocele, check other sources for fever.
UTI testing - Answer✔️✔️--clean catch, cath, suprapubic UA
*dipstick, urine culture.
-+ leukocyte esterase=pyuria
-+nitrate=bacteria
*C/S
-+100,000 colonies for dx; may treat 50,000 or greater
,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
UTI cal app to estimate probability of UTI (ages 2 -23 months)
Indications for urine sample - Answer✔️✔️-Girls:
2-11 months of age temp > 100.4 (non-black)
2-11 months of age temp of 102.2 OR the,p 100.4 and no other fever source identified.
12-24 months of age temp 102.2 (non black)
12-24 months of age 102.2 and no other source of fever identified.
>24 months One or more of the following: dysuria, frequency, new onset incontinence,
back pain, abdominal pain, fever of 102.2 and no other acute cause.
Infant UTI - Answer✔️✔️-non specific symptoms or asymptomatic
UTI symptom cluster - Answer✔️✔️-Newborn- irritability, poor feeding, diarrhea, fever,
vomiting. jaundice, hypothermia, cyanosis, lethargy
Infants//todlers/preschool: diarrhea, vomiting, fever, poor feeding, strong urine odor,
irritability, poor weight gain, diaper rash
Schoolage/adolescents; fever, vomiting, strong urine odor, urethral pain or suprapubic,
dysuria, incontinence.
UTI differential diagnosis - Answer✔️✔️-Chemical irritation (bubble bath)
vulvovaginitis
dysfunctional voiding
acute abdomen ( appe, STD)
Foreign body
Sexual abuse
,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Dysfunctional voiding related to constipation
UTI specimen collection - Answer✔️✔️-Clean catch urine midstream
(bagged specimen don't do it)
Straight Cath for mod to severe symptoms
Suprapubic aspiration: only when culture is urgently needed. ( + is > 1000 colonies)
_blood culture obtained for <12months and suspected sepsis
Indications for radiology in UTI - Answer✔️✔️--Symptoms of pyelonephritis regardless of
age and gender
-UTI in child <3 months
-males with first infection and females with second infection. even if not pyelonephritis
and child > 3 months of age.
UTI treatment - Answer✔️✔️--IV ABX- newborns, infants, or older children with vomiting,
severe symptoms systemic illness or unable to take fluids
-ORAL- 10 day regimen, or 14 days with completed infection.
UTI drugs - Answer✔️✔️-1. Bactrim ( infants >2 months) TMP 8-10mg/kg.BID
Recommended until sensitivities are back since most UTI are caused by E. coli.
2. Amoxicillin 30-40 mg/kg/day TID <3months
3. Augmentin 40mg/kg/day TID
4. Sulfisoxazole 150mg/kg/day QID
5. Cephalexin 50mg/kg/day TID
6. Nitrofurantin 5-7mg/kg/day in divided doses
, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
(ideal treatment for UTI due to highly concentrated in the urine, but less effective for
systemic/renal infections as it does not concentrate well in blood)
Follow up Urine cultures - Answer✔️✔️--2nd culture at 72 hours after initiating treatment if
symptoms are not rsolving
-culture 1 week after completion of treatment when test of cure is indicated.
Tanner staging female pubic hair - Answer✔️✔️-1. No pubic hair (preadolescent)
2. little pigment straight hair,
3. Pigmented, straight medial border of labia sparse
4. pigment, curly, abundant but less than adult
5. lateral spread of hair, triangle
6. only occurs in 10% of women
Tanner staging female breast development - Answer✔️✔️-1. Preadolescent nipple
elevation
2. Breast buds with areolar enlargement
3. Breast enlargement without separate contour with nipple.
4. Projection of areola and nipple as separate mount to breast
5. Adult breast with areola receding and nipple projection from breast
Tanner staging genital maturity males - Answer✔️✔️-1. preadolescent
2. enlargement of scrotum and testes scrotum reddens and roughens
3. penis lengthens
4. penis enlarges in glans and and width
