Chapter 29: The Child with a Genitourinary Condition
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Course
Introduction to Maternity and Pediatric Nursing
Institution
Introduction To Maternity And Pediatric Nursing
MULTIPLE CHOICE
1. What foods does a nurse recommend the child with acute glomerulonephritis avoid, to prevent hyperkalemia?
a. Dairy products
b. Wholegrain cereals
c. Organ meats
d. Bananas
ANS: D
Bananas are very high in potassium and should be avoided.
DIF: Cognitive Level: ...
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. What foods does a nurse recommend the child with acute glomerulonephritis avoid, to
prevent hyperkalemia?
a. Dairy products
b. Wholegrain cereals
c. Organ meats
d. Bananas
ANS: D
Bananas are very high in potassium and should be avoided.
DIF: Cognitive Level: Comprehension REF: 697 OBJ: 9
TOP: AGN KEY: Nursing Process Step: Implementation
2. Which physical assessment technique will a nurse omit when caring for a 2-year-old child
diagnosed with Wilms tumour?
a. Performing range-of-motion exercises on lower extremities
b. Palpating the abdomen
c. Assessing for bowel sounds
d. Percussing ankle and knee reflexes
ANS: B
Palpation of the abdomen could disturb the tumour and cause the malignancy to
spread.
DIF: Cognitive Level: Application REF: 698 OBJ: 10
TOP: Wilms Tumour KEY: Nursing Process Step: Planning
3. Parents are speaking with the urologist about their son’s undescended testicle. Which
, statement by the child’s father causes a nurse to determine he understands the information
presented?
a. “An undescended testicle can reduce fertility.”
b. “The testicle usually descends spontaneously during the first month of life.”
c. “Surgical correction reduces the risk for testicular tumours.”
d. “The optimal time to surgically correct the condition is at diagnosis.”
ANS: A
Although orchiopexy improves the condition, the fertility rate among patients may be
reduced even when only one testis is undescended.
DIF: Cognitive Level: Application REF: 699 OBJ: 11
TOP: Cryptorchidism KEY: Nursing Process Step: Evaluation
4. A parent tells a nurse that her child is scheduled for an X-ray of the bladder and urethra
that is done while the child is urinating. What is this test known as?
a. Cystometrogram
b. Cystoscopy
c. Voiding cystourethrogram
d. Intravenous pyelogram
ANS: C
An x-ray examination of the bladder and urethra before and during micturition is
called a voiding cystourethrogram.
DIF: Cognitive Level: Comprehension REF: 693 OBJ: 4
TOP: Diagnostic Procedures KEY: Nursing Process Step: Data Collection
5. A 6-year-old child with daytime enuresis has symptoms of dysuria and urgency. What
does a nurse recognize these signs and symptoms indicate?
a. Urinary tract infection
b. Nephrotic syndrome
c. Acute glomerulonephritis
d. Vesicoureteral reflux
ANS: A
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