Nokea
The nurse is providing information to parents of a child born with bilateral cryptorchidism. What information is accurate to include?
- A. This is the most common form.
- B. Fertility will be unaffected.
- C. Surgical intervention is not recommended.
- D. An inguinal hernia may be present.
Correct Answer: D
Rationale: Inguinal hernia often accompanies bilateral cryptorchidism.
You may also like to solve these questions
When asked about correcting the hypospadias of a newborn, what does the nurse explain about this condition?
- A. No intervention is necessary as the defect will correct itself over time.
- B. Surgical repair of the hypospadias is done before 18 months of age.
- C. Corrective surgery is usually delayed until the preschool age.
- D. Repairing the defect will increase the risk of testicular cancer.
Correct Answer: B
Rationale: Treatment of hypospadias consists of surgical repair and is usually performed before 18 months of age.
Which statement made by a parent of a child with nephrotic syndrome indicates an understanding of discharge teaching?
- A. I will make sure he gets his measles vaccine as soon as he gets home.'
- B. He can stop taking his medication next week.'
- C. I should check his urine for protein when he goes to the bathroom.'
- D. He should eat a low-protein diet for the next few weeks.'
Correct Answer: C
Rationale: The parents should be instructed to keep a daily record of the child's urinary proteins.
The parents of a newborn are concerned that their son's scrotum is enlarged and swollen on one side. What is the nurse's best response?
- A. It is very common in the newborn that one gonad is larger than the other.'
- B. Birth trauma caused bruising to the scrotum. It will reduce in size in a few days.'
- C. It is a collection of fluid that will most likely correct itself in a year.'
- D. The doctor will drain this collection of blood before your baby is discharged.'
Correct Answer: C
Rationale: These signs are indicative of a hydrocele, a collection of fluid in the scrotum that usually corrects itself in a year.
The nurse is aware that genitourinary surgery is especially stressful for preschool children. What factor(s) lend to this stress? (Select all that apply.)
- A. They may perceive the treatment as punishment.
- B. They are especially prone to separation anxiety.
- C. They are sexually curious and developmentally fixated on their genitals.
- D. They have a fear of castration.
- E. They fear death.
Correct Answer: A,B,C,D
Rationale: Preschool children undergoing genitourinary surgery may experience stress due to perceiving treatment as punishment, separation anxiety, sexual curiosity, and fear of castration.
What will the nurse caring for a newborn with exstrophy of the bladder include in the care? (Select all that apply.)
- A. Diaper infant tightly.
- B. Protect skin around bladder.
- C. Position infant on back.
- D. Prepare for surgical closure.
- E. Cover exposed bladder with shield.
Correct Answer: B,C,D,E
Rationale: The infant is kept on his back or side with special attention to the skin around the exposed bladder, which is constantly bathed with urine.