NURSl 307/l NURS307l Quizl 5l –l Pedsl |l WCUl (Latestl 2026/l 2027l Update)l 100%l Verifiedl Questionsl &l Answersl |l Gradel A
Q:l Mostl commonl causel ofl UTI
Answer:
E.coli
Q:l Urinaryl tractl infection:l Patho
Answer:
infectiousl agentl entersl urethral andl travelsl upl tol bladderl (cystitis);l ifl thel infectionl entersl thel uretersl andl upl tol thel kidneyl pyelonephritisl hasl developed
Q:l Lowerl UTIsl arel characterizedl by:l (cystitis)
Answer:
-hesitancyl tol void -dysuria -freql ofl voiding -urinel incontinence -fever -vomiting -lethargy -painful,l cloudy,l odorousl urine,l -hematuria
Q:l Upperl UTIsl arel characterizedl by:l (pyelonephritis)
Answer:
-highl feverl andl mayl leadl tol renall scarringl thatl mayl bel associatedl withl decreasedl kidneyl function,l HTN,l andl renall diseasel overl timel -dulll flankl pain,l nausea,l vomiting -hematurial (frankl blood),l abdominall pain,l moderatel tol severel dehydration 1 / 4
Q:l Thel singlel mostl importantl hostl factorl influencingl thel occurrencel ofl UTIl is:
Answer:
urinaryl stasisl andl incompletel bladderl emptyingl (stasis)l resultingl froml reflux
Q:l Childl withl UTIsl shouldl bel encouragedl to:
Answer:
havel adequatel waterl intakel (generallyl onel 8-ozl cupl ofl waterl untill agel 8)
Q:l Diagnosisl ofl UTIl isl confirmedl by:
Answer:
detectionl ofl bacterial inl urinel culture
Q:l UTI:l DX
Answer:
-urinalysis -WBC -Nitritesl (kidneyl infection) -urinel culturel andl sensitivityl (overl 10,000l organisms/mL)
Q:l Al childl whol exhibitsl thel followingl shouldl bel evaluatedl forl UTI:
Answer:
-incontinencel inl al toilet-trainedl child -frequencyl orl urgencyl ofl voiding -dysuria -grossl hematuria
Q:l Manifestationsl ofl UTI:l Neonatall (Birthl tol 1l mth)
Answer:
Poorl feedingl Vomitingl 2 / 4
Failurel tol gainl weightl Rapidl respirationl (acidosis)l Respiratoryl distressl Spontaneousl pneumothoraxl orl pneumomediastinuml Frequentl urinationl Screamingl onl urinationl Poorl urinel streaml Jaundicel Seizuresl Dehydrationl Otherl anomaliesl orl stigmatal Enlargedl kidneysl orl bladder
Q:l Manifestationsl ofl UTI:l Childhoodl (2l tol 14l yearsl old)
Answer:
Poorl appetitel Vomitingl Growthl failurel Excessivel thirstl Enuresis,l incontinence,l frequentl urinationl Painfull urinationl Swellingl ofl facel Seizuresl Pallorl Fatiguel Bloodl inl urinel Abdominall orl backl painl Edemal Hypertensionl Tetany
Q:l Manifestationsl ofl UTI:l Infancyl (1l tol 24l mths)
Answer:
Poorl feedingl Vomitingl Failurel tol gainl weightl Excessivel thirstl Frequentl urinationl 3 / 4
Strainingl orl screamingl onl urinationl Foul-smellingl urinel Pallorl Feverl Persistentl diaperl rashl Seizuresl (withl orl withoutl fever)l Dehydrationl Enlargedl kidneysl orl bladder
Q:l UTI:l Measuresl ofl prevention
Answer:
-Practicel perineall hygiene;l wipel froml frontl tol backl inl females -Avoidl tightl clothingl orl diapers;l wearl cottonl pantiesl ratherl thanl nylon -Avoidl "holding"l urine;l encouragel childl tol voidl frequently -Takel timel tol emptyl bladderl completely;l Thisl mayl bel helpedl byl relaxedl toiletl posturel forl girls,l withl feetl supportedl onl al stooll andl kneesl apart -Somel childrenl benefitl froml "doublel voiding"l (void,l waitl al fewl minutes,l andl voidl again) -Avoidl constipation -Encouragel adequatel fluidl intake.
Q:l Ambiguousl genitalia
Answer:
thel presentationl atl birthl mayl bel al genitall appearancel butl doesl notl permitl genderl declaration -explainl thel disorderl tol thel parentsl sol theyl canl explainl tol others
Q:l Ambiguousl genitalia:l includes
Answer:
-bilaterall cryptorchidism -perineall hypospadiasl wl bifidl scrotum -clitoromegaly -posteriorl labiall fusion -phenotypicl femalel appearancel wl palpablel gonad -hypospadias -unilaterall nonpalpablel gonad
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