Peds Chapter 39: PrepU

A client's mother asks the nurse, "When should my daughter have a pelvic examination?" Which response by the nurse is most appropriate?

"A pelvic exam is necessary at 18 to 20 years of age."

A parent asks if her newborn's undescended testicles will need surgery to repair. What is the best response by the nurse?

There is a chance the testicles will descend on their own.

A female child has been diagnosed with precocious puberty at the age of 8. Which of the following would be an important teaching priority to tell the parents?

"Your daughter is physically able to become pregnant."

The nurse is caring for a pediatric client who is scheduled for the surgical removal of a Wilms tumor. Which action is contraindicated in the client's care?

Abdominal palpation

A client has just been admitted to the unit with a history of recent strep infection, hematuria, and proteinuria. Based on these findings, the nurse would suspect which condition?

Acute glomerulonephritis

A parent is asking how to help the child deal with the peer ridicule at school in regards to enuresis. What is the best response by the nurse?

Demonstrate love and acceptance at home.

A 4-year-old boy with nephrotic syndrome has extensive edema. The best intervention to reduce periorbital edema would be to:

Elevate the head of the bed.

A 15-year-old girl has been experiencing dysmenorrhea for the past year. Over the past 6 months, she has been taking ibuprofen and oral contraceptives, with no improvement. What underlying condition should be assessed for in this client at this point?

Endometriosis

The nurse is caring for a child with nephrotic syndrome. The child is noted to have edema. The edema would most likely be seen where on this child?

Eyes

An adolescent is diagnosed as having gonorrhea. The nurse can anticipate that her management will include:

Identification of sexual contacts.

The nurse is reviewing lab work prior to shift handoff on a client with a subnormal urine output. Which is the nurse most correct to report?

Oliguria

The nurse determines that interventions for a voiding disorder have been effective when the family of a child with enuresis demonstrates evidence of which of the following?

Parents/family use positive coping mechanisms in response to the child and the voiding disorder.

An infant is diagnosed with a urinary tract infection. Which of the following would the nurse most likely assess? Select all that apply.

Poor feeding Fever

The nurse is providing a child with oxybutynin as prescribed following surgical repair of a hypospadias. What should the nurse teach the patient about the purpose of this medication?

Relieves bladder spasms

A sexually active adolescent female is concerned that she has contracted gonorrhea. Which finding should the nurse expect to assess if gonorrhea is present in this patient?

Slight yellow vaginal discharge

A 16-year-old adolescent tells the nurse about having severe dysmenorrhea. Which action would be the best health teaching measure?

Take over-the-counter ibuprofen for its prostaglandin action.

A pediatric client is scheduled for an intravenous pyelogram (IVP) of the kidney this afternoon. Which of the following situations would require immediate attention by the nurse?

The child does not have intravenous access.

Which goal of therapy would be appropriate for a nurse to establish with a client's family and a client who has a diagnosis of enuresis?

The client remains continent throughout the night.

A home health care nurse is providing follow-up care to a child with nephrotic syndrome. Which of the following would the nurse include as part of the child's plan of care?

The need to withhold immunizations if the child is on steroids

A nurse is discussing with a family the various causes of their child's vulvovaginitis. What would be included in the education?

The use of cleansing towelettes may have caused the vulvovaginitis.

The nurse is reviewing the causative organisms noted on laboratory reports. Which organism is transmitted solely by sexual contact?

Trichomonas

A nurse has just admitted a client with symptoms of vulva inflammation, pain, odor, and pruritus. Based on these findings, the nurse could conclude that this client will be diagnosed with which condition?

Vulvovaginitis

An adenosarcoma found in the region of the kidney in a child would most likely be:

Wilms tumor.

What should the nurse instruct an adolescent who asks about the best way to prevent vulvovaginitis?

Wipe from front to back after urinating or defecating.

A 3-year-old child is exhibiting irritability, fever, and decreased appetite. A recent history of which of the following would make the nurse suspicious of a urinary tract infection (UTI)?

Abdominal pain

The nurse is teaching manifestations of nephrotic syndrome to the parents of a child with the disorder. What should the nurse instruct the parents to monitor to determine if edema is increasing?

Abdominal circumference

To determine if ascites is increasing in amount in a child with nephrotic syndrome, which measurements would be most appropriate?

Abdominal circumference

When assessing the infant for cryptorchidism, the nurse would be prepared for which of the following?

A bulge in the inguinal area

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 is the increased secretion of prostaglandins.

The nurse is caring for a 7-month-old female infant diagnosed with a urinary tract infection (UTI). The parents are upset as this is the infant's second UTI with a fever. Which instruction is mosthelpful? Select all that apply.

A fever is commonly noted with a UTI. Change diapers promptly, especially after bowel movements. Female urethras are shorter and straighter than males.

The nurse is collecting data on a child recently diagnosed with acute glomerulonephritis. Which of the following clinical manifestations was likely noted in this child?

Bloody urine

A school-aged child diagnosed with glomerulonephritis is in the physician's office for a 6-month follow-up visit. Hematuria is found in the urine. The parents are concerned and want to know why the glomerulonephritis is not gone. What is the best response by the nurse?

Hematuria can remain in the urine for up to one year.

The nurse is caring for a client newly diagnosed with acute glomerulonephritis? When receiving the pediatric client's history, which is anticipated?

Onset of a streptococcus infection last week

The nurse is triaging clients as they come in to an express care facility. Which assessment finding is clinically significant for early nephrotic syndrome?

Periorbital edema

The nurse is caring for a 6-year-old child with acute glomerulonephritis. When reviewing the client's laboratory results, which result is most important to review with the health care provider?

Positive culture for group A streptococcus

At a well-child visit, a urine specimen is obtained from a child for testing. The nurse is reviewing the results which reveal positive leukocytes. The nurse interprets this as indicating which of the following?

Possible urinary tract infection