Ssc Peds Final - Gu

Front 1

What is the best way to get a urine sample from a diapered child?

Back 1

Straight cath

Front 2

When are antibiotics for vesicoureteral reflux given to decrease growth of bacteria?

Back 2

Bedtime

Front 3

What is the primary diagnostic method for determining a vesicoureteral reflux?

Back 3

Voiding cystourethrogram

Front 4

What is the primary goal for a vesicoureteral reflux?

Back 4

Treatment and prevention

Front 5

True or false: Strict I & O measurements are a must for nursing management of a child with acute glomerulonephritis.

Back 5

True

Front 6

What is the number one cause of renal scarring in children?

Back 6

Vesicoureteral reflux with a UTI

Front 7

Because acute glomerulonephritis causes children to retain water and sodium, what other electrolyte should we be sure to restrict to avoid cardiac problems?

Back 7

Potassium

Front 8

How long post-strep infection might acute glomerulonephritis present itself?

Back 8

10-21 days

Front 9

Abnormal retrograde flow of bladder urine into the ureters from the bladder; bacteria flows up from the bladder to the kidneys and causes infection:

Back 9

Vesicoureteral reflux

Front 10

This method of urine sample collection is frowned upon because of the possible occurance of a false positive reading:

Back 10

Collection bag

Front 11

These drugs will stimulate remission and protein excretion in a child with nephrotic syndrome:

Back 11

Corticosteroids

Front 12

What are the clinical manifestations of nephrotic syndrome?

Back 12

Worsening edema, decreased urine output of dark frothy urine

Front 13

This results because the liver increases synthesis of lipoproteins to correct the hypoalbuminemia associated with nephrotic syndrome:

Back 13

Hyperlipidemia

Front 14

A decrease in this plasma protein causes fluid to shift from the bloodstream into interstitial spaces (causing edema) and body cavities (causing ascites):

Back 14

Albumin

Front 15

These three conditions are hallmark of nephrotic syndrome:

Back 15

Hyperabuminuria, hypoalbuminemia, and hyperlipidemia

Front 16

Does bacteria grow better when the urine is acidic or alkaline?

Back 16

Alkaline

Front 17

A lower urinary tract infection that affects the bladder and/or the urethra:

Back 17

Cystitis

Front 18

Drug given to counteract nighttime bedwetting:

Back 18

DDAVP

Front 19

Type of enuresis in which a child is dry for 3-6 months and then has an episode of nocturnal bedwetting:

Back 19

Secondary

Front 20

Type of enuresis in which a child has never had nighttime bladder control:

Back 20

Primary

Front 21

Which sex most often develops acute glomerulonephritis?

Back 21

Boys

Front 22

If acute glomerulonephritis is left untreated, what life-threatening condition can it lead to?

Back 22

Renal failure

Front 23

Will water and sodium retention be a problem for kids with acute glomerulonephritis? Why or why not?

Back 23

Yes - the glomeruli become infiltrated with leukocytes, occlude the capillaries, and decrease the glomerular filtration rate

Front 24

Would salt and fluid restrictions be in place for acute glomerulonephritis?

Back 24

Yes

Front 25

When does the serum complement (C3) usually normalize after treatment is started for acute glomerulonephritis?

Back 25

8 weeks

Front 26

This test circulates antibodies into strep bacteria to let us know if a child has a current strep infection:

Back 26

Antistreptolysin-O titer

Front 27

Would serum complement (C3) be high or low in acute glomerulonephritis?

Back 27

Low

Front 28

Term for nighttime bedwetting:

Back 28

Nocturnal enuresis

Front 29

The primary cause of UTIs (not a bacteria):

Back 29

Urinary stasis

Front 30

Upper urinary tract infection in which the kidneys are involved:

Back 30

Pyelonephritis

Front 31

When albumin leaves the blood and serum, this develops:

Back 31

Hypoalbuminemia

Front 32

When albumin leaks into the urine from the blood, this develps:

Back 32

Hyperalbuminuria

Front 33

Normally the glomeruli are impermeable to protein but in nephrotic syndrome they become permeable to exclusively this plasma protein:

Back 33

Albumin

Front 34

Most common type of nephrotic syndrome in children:

Back 34

Minimal change

Front 35

This bacteria is almost always the cause of acute glomerulonephritis in children:

Back 35

Strep

Front 36

Until this age, boys are more likely to develop a UTI:

Back 36

1 year

Front 37

After this age, girls are more at risk for UTI than boys:

Back 37

1 year

Front 38

True or false: Silk underwear are recommended for children to aid in the prevention of UTIs.

Back 38

False - cotton

Front 39

What is the correct way for females to wipe after going to the bathroom?

Back 39

Front to back

Front 40

A boy who has a UTI after this age should have further evaluation and testing:

Back 40

1 year

Front 41

Would there be protein in the urine of a child with acute glomerulonephritis?

Back 41

Yes, 3-4+

Front 42

Term for nitrogenous waste in the blood; seen in kids with acute glomerulonephritis:

Back 42

Azotemia

Front 43

How would a child with acute glomerulonephritis's urine look? Would there be bacteria present?

Back 43

Tea-colored, no bacteria

Front 44

Symptoms of this are present in a child with an abrupt onset of acute glomerulonephritis:

Back 44

Fluid overload

Front 45

Inflammation of the glomerular capillaries; usually occurs post-infection:

Back 45

Acute glomerulonephritis

Front 46

Small structures in the kidneys that help filter the blood to make urine:

Back 46

Glomeruli

Front 47

This grade of vesicoureteral reflux usually requires surgery to fix (reimplantation of the ureters):

Back 47

4 & 5 (higher grades)

Front 48

Which organism is the primary cause of UTIs in infants and small children?

Back 48

E. coli

Front 49

Condition in which the urethral opening is on top of the penis:

Back 49

Epispadias

Front 50

The absence of one or both testes from the scrotum:

Back 50

Cryptorchidism

Front 51

Condition in which part or all of the bladder is outside of the body at birth:

Back 51

Exstrophy of the bladder

Front 52

What is the best indicator of fluid retention in a child who is ill with nephrotic syndrome?

Back 52

Daily weights

Front 53

What kind of diet is recommended for a child with nephrotic syndrome?

Back 53

Protein-rich, 1-2g/kg/day

Front 54

What is the first sign of relapse in a child with nephrotic syndrome?

Back 54

Protein in the urine

Front 55

A girl who has this many UTIs before this age should have further evaluation:

Back 55

2 before the age of 5

Front 56

This amount of bacteria in a catheter specimen of urine is considered to be a positive culture:

Back 56

10,000

Front 57

A urine culture is considered positive when there is this number of organisms in it:

Back 57

50,000-100,000

Front 58

Condition in which the urethral opening is on the ventral (bottom) side of the penis:

Back 58

Hypospadias

Front 59

Uncircumcised foreskin that cannot be pulled back:

Back 59

Phimosis