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GU Pediatrics Practice Questions and Solutions
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The nurse is providing discharge teaching to an adolescent who has been treated for pelvic inflammatory disease (PID). What would the nurse include as a preventive measure? Insisting the sexual partners use condoms. (PID is an STI; use of condoms prevents PID) In caring for a child with nephrotic ...

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  • September 23, 2024
  • 8
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • gu pediatrics practice questions and solutions
  • the nurse is providing discharge teaching to an ad
  • in caring for a child with nephrotic syndrome whi

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GU Pediatrics Practice Questions and
Solutions
The nurse is providing discharge teaching to an adolescent who has been treated for
pelvic inflammatory disease (PID). What would the nurse include as a preventive
measure? ✅Insisting the sexual partners use condoms. (PID is an STI; use of
condoms prevents PID)

In caring for a child with nephrotic syndrome, which intervention will be included in the
child's plan of care? ✅Weighing on the same scale each day (Child with nephrotic
syndrome is very edematous. Must monitor child's fluid gain and loss)

The nurse is collecting data on a 6-year-old child admitted with acute
glomerulonephritis. Which vital sign would the nurse anticipate with this child's
diagnosis? ✅Blood pressure 136/84
(Hypertension appears in 60% to 70% of clients during the first 4 or 5 days with a
diagnosis of glomerulonephritis)

The nurse is conducting a presentation for a group of nurses who work with
adolescents. The group discusses dysmenorrhea. Which statement is most accurately
related to dysmenorrhea? ✅A contributing factor in dysmenorrhea (menstrual cramps)
is the increased secretion of prostaglandins.
(The increased secretion of prostaglandins, which occurs in the last few days of the
menstrual cycle, is thought to be the contributing factor in primary dysmenorrhea.)

The nurse is taking a history from an adolescent girl with suspected pelvic inflammatory
disease (PID). What data will be most helpful in determining this girl's risk factors for
PID? ✅Number of sexual partners.
(Multiple sex partners are a risk for PID)

The parent of 6-month-old girl is concerned about the child getting a urinary tract
infection. What should the nurse mention to the parent regarding this concern?
✅Report any abnormally colored urine to the child's primary care provider

A pediatric client is scheduled for an intravenous pyelogram (IVP) of the kidney this
afternoon. Which situation would require immediate attention by the nurse? ✅The child
does not have intravenous access.
(An IVP is an x-ray study of the upper urinary tract in which a radio opaque dye is
injected into a peripheral vein, requiring intravenous access.)

The nurse is caring for a child who is undergoing peritoneal dialysis. Immediately after
draining the dialysate, which action should the nurse should take immediately?
✅Weigh the old dialysate

, (Should be weighed to determine the amount of fluid removed from the child. Fluid must
be weighed prior to emptying it.

A child is being evaluated for renal and urinary tract disease. What would the nurse
expect to be ordered to evaluate the child's glomerular filtration rate? ✅Creatinine
clearance rate
(The glomerular filtration rate is measured by creating clearance rate.)

A client has been admitted to the emergency department with nausea, vomiting, and
severe scrotal pain. These findings indicate what condition? ✅testicular torsion
(evidenced by symptoms and is a surgical emergency)

The first method of choice for obtaining a urine specimen from a 3-year-old child with a
possible urinary tract infection is: ✅Obtaining a clean catch voided urine (in the case
the child is toilet trained)

Which dietary change is most important to decrease the symptoms of premenstrual
syndrome? ✅Maintain a low-sodium diet
(This decreased fluid retention)

A 3-month-old boy is found to have undescended testes. The parents are concerned.
What should the nurse anticipate as the next step for this client? ✅Reassess the
client's testes at 6 months of age
(Treatment is usually delayed until ay least 6 months of age.)

A 16-year-old girl visits her gynecologist with a complaint of metrorrhagia, or bleeding
between menstrual periods, since her last visit 3 months ago. On consulting the client's
chart, the nurse learns that she was prescribed an oral contraceptive at her last visit.
Which intervention should the nurse implement in this situation? ✅Explain that
breakthrough bleeding is normal during the first 3 or 4 months of oral contraceptive use
but that it should go away after that.

A 3-year-old child is scheduled for a surgery to correct undescended testes. For what
postoperative consideration would the nurse want to prepare the parents? ✅Some
discomfort at the surgery site
(An orchiopexy is the surgical procedure to release the spermatic cord and pull testes
into scrotum. Testes are then sutured into place to prevent them from returning to the
abdominal cavity.)

A nurse is teaching the parents about the kidney transplant their child is going to
receive. What would be included in the teaching? ✅Immunosuppression is common
after a kidney transplant.
(Immunosuppressants are given to prevent rejection but not 100% guaranteed)

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