Peds test 3 GU
Terms
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- chordee
- downward curvature of penile shaft
- 20-50 mL
- bladder capacity at birth
- assessing renal and UT dysfunction in children
- fatigue, pale, retarded growth, low-grade temp
- 4-5 years old
- when bladder capacity is completely achieved in children
- hypospadius
- placement of actual opening of urethral meatus BELOW glans of penis (pee on feet)
- obstructive uropathy
- often causes hydronephrosis
- nursing care for hydronephrosis and obstructive uropathy
- post-op care, watch for urinary retention, stent or catheter care, no CONTACT SPORTS
- completion of toilet training
- important to repair/ treat chordee and hypospadius before _________
- hydronephrosis
- obstruction at ureteropelvic juction or other parts of the ureter leading to dilation of the kidneys
- epispadius
- actual opening of urethral meatus ABOVE glans of penis (pee in face)
- 24-28 hours of birth
- when 1st stage of surgical repair for bladder exstrophy is performed
- postop care of bladder exstrophy surgery
- immobilize and avoid abduction of the legs, monitor renal function
- shorter urethras
- predispose children to urinary tract infections
- tx for chordee and hypospadius
- no circumcision, release of chorde, lengthening of urethra, positioning of meatus at top of glans, reconstruction of penis...may require stent
- 6-12 months old
- when infants kidneys achieve adult function
- clinical manifestations of bladder exstrophy
- mass of bright red tissue, continual urine leakage, abnormal genitalia
- bladder exstrophy
- posterior bladder wall extudes through lower abdominal wall
- 2-3 years old
- when second stage of surgical repair for bladder exstrophy is performed
- 700 mL
- bladder capacity in adults
- postop care for hyospadius and epipadius
- wound/ stent care, encourage fluids, pain meds, antibiotics