Urinary Diversions Overview
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Questions and Answers

Which type of urinary diversion is the most temporary?

  • Ileal conduit
  • Urinary catheterization (correct)
  • Neobladder
  • Nephrostomy

What is the primary purpose of a ureteral stent?

  • To allow for surgical drainage of urine
  • To allow passage of urine when a ureter is blocked (correct)
  • To form a neobladder
  • To prevent infection

When might a urinary diversion be permanent?

  • In case of ureteral stent placement
  • Following injury to the urinary tract
  • Due to postoperative scar tissue
  • For a tumor in the bladder (correct)

What condition might necessitate the placement of a ureteral stent?

<p>Obstruction from swelling due to an infection (A)</p> Signup and view all the answers

Which surgical procedure may be required for more permanent urinary diversions?

<p>Ileal conduit (B)</p> Signup and view all the answers

What is the common purpose of both urinary catheterization and ureteral stents?

<p>To facilitate urine passage (C)</p> Signup and view all the answers

What is the purpose of a nephrostomy tube?

<p>To drain urine directly from the kidney into an external pouch (D)</p> Signup and view all the answers

In which type of urinary diversion is a valve used to prevent urine from flowing out without a catheter?

<p>Continent cutaneous reservoir (B)</p> Signup and view all the answers

When might a cystostomy be necessary?

<p>To insert a catheter directly into the bladder (A)</p> Signup and view all the answers

Which condition may require a client to have an ileostomy?

<p>Crohn's disease (D)</p> Signup and view all the answers

What distinguishes a neobladder from a continent cutaneous reservoir?

<p>The neobladder is placed in the abdomen. (D)</p> Signup and view all the answers

Why might a client need a continent urinary diversion?

<p>If they have colon or rectal cancer (D)</p> Signup and view all the answers

What is the function of a continent cutaneous reservoir?

<p>To prevent urine flow out without a catheter (B)</p> Signup and view all the answers

Why might a client require fecal diversion?

<p>Colon or rectal cancer (B)</p> Signup and view all the answers

What distinguishes an ileostomy from a colostomy?

<p>Ileostomy diverts content from the colon, while colostomy diverts content from the ileum. (A)</p> Signup and view all the answers

What is used to direct intestinal contents out of the body in an ileostomy?

<p>Stoma on the abdominal wall (B)</p> Signup and view all the answers

What is the purpose of a colostomy?

<p>To allow for the passage of body waste through a stoma (C)</p> Signup and view all the answers

Which type of fecal diversion uses the ileum, the terminal end of the small intestine?

<p>Ileostomy (A)</p> Signup and view all the answers

What is one of the complications associated with fecal diversions like colostomies and ileostomies?

<p>Skin irritation (B)</p> Signup and view all the answers

Which specialized nurse assists clients in maintaining skin integrity around stoma sites?

<p>Wound, Ostomy, and Continence Nurse (A)</p> Signup and view all the answers

What is a Kock pouch?

<p>A continent ileostomy system (C)</p> Signup and view all the answers

How is colostomy irrigation beneficial for clients?

<p>Helps prevent constipation and reduces the need for a colostomy pouch (D)</p> Signup and view all the answers

What happens in a J-pouch procedure?

<p>The ileum is connected to the anus after rectum and colon removal (D)</p> Signup and view all the answers

How is a Kock pouch different from a J-pouch?

<p>A Kock pouch forms an internal reservoir using the ileum (C)</p> Signup and view all the answers

What is the purpose of colostomy irrigation?

<p>To remove stool from the colon using sterile water (D)</p> Signup and view all the answers

What role does a Wound, Ostomy, and Continence Nurse play in ostomy care?

<p>Teaching clients how to care for their stomas and pouches (C)</p> Signup and view all the answers

Which principle of human development states that infants gain control over their neck and head before they can control their extremities?

<p>Proximodorsal principle (C)</p> Signup and view all the answers

At what stage of human development do individuals accomplish head control before being able to crawl?

<p>Infancy (D)</p> Signup and view all the answers

Which principle of human development describes the orderly evolution from large muscle movement to more refined muscle movements?

<p>Simple to complex principle (C)</p> Signup and view all the answers

Human development is defined as a continuous process characterized by periods of growth spurts and periods of slow and steady growth. Which principle does this describe?

<p>Universal principle (A)</p> Signup and view all the answers

Which principle of human development emphasizes that development follows a head-to-toe progression?

<p>Proximodorsal principle (B)</p> Signup and view all the answers

Individuals grow and develop at varying rates due to:

<p>Cephalocaudal principle (D)</p> Signup and view all the answers

What is the first step in conception?

<p>Fertilization of the female egg by a sperm cell (C)</p> Signup and view all the answers

Why do older mothers have a higher risk for chromosomal defects like Down syndrome?

<p>Difficulty in getting pregnant (B)</p> Signup and view all the answers

What determines the effects of teratogens on an unborn child?

<p>Duration of exposure, amount of substance, and developmental stage (C)</p> Signup and view all the answers

What indicates that delivery is imminent during a vaginal birth?

<p>The top of the newborn's head appears (crowning) (D)</p> Signup and view all the answers

What happens when a newborn's fontanels are soft?

<p>The newborn has an immature nervous system (A)</p> Signup and view all the answers

What is the primary purpose of conducting physical and neurologic assessments on a newborn?

<p>To estimate gestational age and neurological function (C)</p> Signup and view all the answers

What is a significant risk factor for prematurity and low-birth-weight infants in teenage mothers?

<p>Lack of access to prenatal care (B)</p> Signup and view all the answers

How do sperm cells fertilize an egg?

<p>By combining their nuclei with that of the egg (A)</p> Signup and view all the answers

What is the role of teratogens?

<p>To cause physical malformations (D)</p> Signup and view all the answers

How does pregnancy begin?

<p>When an egg is fertilized (B)</p> Signup and view all the answers

What reflex causes a newborn to startle, extend their arms and legs, and then pull them inward toward the body?

<p>Moro reflex (D)</p> Signup and view all the answers

Which reflex is initiated by turning the newborn's head to the side while lying supine?

<p>Tonic neck reflex (A)</p> Signup and view all the answers

What does the Babinski reflex in a newborn involve?

<p>Toes fanning outward and foot turning inward when sole of the foot is stroked (D)</p> Signup and view all the answers

What is typically measured and recorded immediately after a newborn's birth?

<p>Temperature and vital signs (C)</p> Signup and view all the answers

What is the range of respiratory rate typically observed in a newborn?

<p>30-60 breaths per minute (B)</p> Signup and view all the answers

What is the average systolic blood pressure range in a newborn?

<p>60-80 mm Hg (D)</p> Signup and view all the answers

How much does a newborn's brain typically weigh at birth compared to an adult brain?

<p>~25% less than an adult brain (C)</p> Signup and view all the answers

When do infants typically double their birth weight?

<p>By 5 months (A)</p> Signup and view all the answers

What is one key role of nurses in health promotion for infants and families?

<p>Assisting with optimal growth and development (C)</p> Signup and view all the answers

How can language acquisition be enhanced during toddlerhood?

<p>Talking with children, describing objects and their usage, and reading aloud. (D)</p> Signup and view all the answers

What kind of foods are essential for toddlers to promote brain development?

<p>Fruits and vegetables containing vitamins and minerals (D)</p> Signup and view all the answers

Why might a toddler refuse to eat according to the text?

<p>Because they are playing too much (D)</p> Signup and view all the answers

What is the recommended amount of sleep for preschoolers including naps?

<p>10-12 hours (B)</p> Signup and view all the answers

What is a key activity preschoolers should engage in for optimal dental health?

<p>Brushing and flossing daily (A)</p> Signup and view all the answers

What reflects the changes in children's posture during middle childhood?

<p>Shift in center of gravity (B)</p> Signup and view all the answers

What is a common skill possessed by preschoolers by age 5?

<p>Skipping and turning somersaults (C)</p> Signup and view all the answers

What is the main purpose of consistent bedtime routines for toddlers?

<p>To help them get ready for sleep (D)</p> Signup and view all the answers

Why are naps essential for preschoolers according to the text?

<p>To restore and replenish energy (B)</p> Signup and view all the answers

What should caregivers do if preschoolers wake up from bad dreams at night?

<p>Assure them that they are safe and not alone (D)</p> Signup and view all the answers

What contributes to the rate of growth during middle childhood according to the text?

<p>Genetic background and nutrition. (C)</p> Signup and view all the answers

What physical skills typically develop in children during middle childhood?

<p>Riding a bicycle and hitting a baseball (D)</p> Signup and view all the answers

How do children's friendships evolve during middle childhood?

<p>They become more serious and diverse (D)</p> Signup and view all the answers

What emotional development is characteristic of children in middle childhood?

<p>A gradual shift from simple emotions to more mature expressions (C)</p> Signup and view all the answers

How can childhood obesity impact long-term health?

<p>It can cause diabetes and heart disease in adulthood (C)</p> Signup and view all the answers

What is the primary recommendation for physical activity in children during middle childhood?

<p>1 hour per day (B)</p> Signup and view all the answers

What is the focus of language development in middle childhood?

<p>Enhancing communication skills (B)</p> Signup and view all the answers

How do children's responsibilities change during middle childhood?

<p>They take on more tasks and develop a sense of responsibility (D)</p> Signup and view all the answers

Why is ensuring a well-rounded, nutritional diet important during childhood?

<p>To prevent health issues like diabetes and heart disease in later life (D)</p> Signup and view all the answers

What marks the beginning of adolescence?

<p>The onset of sexual maturity (C)</p> Signup and view all the answers

What does the term adolescence mean?

<p>To grow and mature (C)</p> Signup and view all the answers

What is a common stressor for middle-aged adults known as the sandwich generation?

<p>Caring for aging parents and growing children (B)</p> Signup and view all the answers

Why might physical changes like weight gain, hair loss, and wrinkles be particularly stressful for some middle-aged adults?

<p>Impact on self-esteem (A)</p> Signup and view all the answers

Which essential elements are crucial for maintaining strong bones and teeth in middle adulthood?

<p>Calcium and vitamin D (A)</p> Signup and view all the answers

How do healthy food choices and sound nutrition contribute to middle-aged adults' overall well-being?

<p>Decreasing potential for health alterations due to chronic disease (A)</p> Signup and view all the answers

Why should a daily multivitamin not be used as a substitute for natural food sources in middle adulthood?

<p>Multivitamins lack essential nutrients found in food (D)</p> Signup and view all the answers

How might redefining new roles in middle adulthood impact the relationship between partners?

<p>Deepen intimate bonds (D)</p> Signup and view all the answers

What triggers hormonal changes during puberty?

<p>The hypothalamus (A)</p> Signup and view all the answers

Which hormone stimulates the development of eggs in females and sperm in males?

<p>Follicle-stimulating hormone (FSH) (C)</p> Signup and view all the answers

What physical changes are evident in females during puberty due to estrogen and testosterone?

<p>Hip and pelvic region widening (D)</p> Signup and view all the answers

What is the primary role of luteinizing hormone (LH) during puberty?

<p>Stimulate testosterone secretion in males (D)</p> Signup and view all the answers

What major cognitive changes occur during adolescence?

<p>Maturation of cognitive processing (A)</p> Signup and view all the answers

Which area of the brain is involved in decision-making and impulse control, and matures during late adolescence?

<p>Prefrontal cortex (A)</p> Signup and view all the answers

What contributes to enhanced strength and endurance during adolescence?

<p>Exercise routines (C)</p> Signup and view all the answers

During puberty, what changes noticeably about pubic hair?

<p>It darkens and becomes coarser (A)</p> Signup and view all the answers

What is the primary role of testosterone and estrogen during adolescence?

<p>Stimulate physical growth spurt (A)</p> Signup and view all the answers

Why might adolescents experience discomfort during rapid physical changes?

<p>From painful comparisons with peers (D)</p> Signup and view all the answers

What could be a potential consequence of relying extensively on fast foods and unhealthy food choices during adolescence?

<p>Increased risk of obesity due to inadequate nutrition (B)</p> Signup and view all the answers

Why might females be more likely than males to be dissatisfied with their appearance during adolescence?

<p>Frequent discussions of physical attractiveness among female friends (D)</p> Signup and view all the answers

Which nutrient is specifically mentioned as necessary for bone growth during adolescence?

<p>Calcium (C)</p> Signup and view all the answers

What is a potential dental risk factor for adolescents mentioned in the text?

<p>Orthodontic considerations (D)</p> Signup and view all the answers

When does brain maturation in individuals typically extend until?

<p>Mid-20s (D)</p> Signup and view all the answers

What marks the attainment of adulthood based on the text?

<p>Role transitions and new responsibilities (D)</p> Signup and view all the answers

What is a potential reason why young adults tend to postpone seeking healthcare according to the text?

<p>Overall good health and activity (D)</p> Signup and view all the answers

What defines emerging adulthood according to the text?

<p>$25$ is a distinct stage before full adult responsibilities. (C)</p> Signup and view all the answers

Which criterion is noted as most widely used to determine adulthood achievement?

<p>Financial independence (D)</p> Signup and view all the answers

Why might oral health be a widely unmet need among adolescents according to the text?

<p>Lifelong dental habits formed in childhood and adolescence (D)</p> Signup and view all the answers

What term did Robbins and Wilner coin to describe the transition from adolescence to adulthood?

<p>Quarterlife crises (C)</p> Signup and view all the answers

What physiological changes occur in middle adulthood regarding body contour?

<p>Increased fat deposits in the trunk region (A)</p> Signup and view all the answers

What biological changes occur in males during climacteric?

<p>Gradual decline in testosterone levels and sperm counts (A)</p> Signup and view all the answers

What marks the cessation of menses in females, signaling the end of reproductive capacity?

<p>Menopause (D)</p> Signup and view all the answers

Which physiological change is commonly experienced by both males and females during climacteric?

<p>Decrease in bone mass (C)</p> Signup and view all the answers

What is a common symptom experienced by women during menopause?

<p>Vaginal dryness (A)</p> Signup and view all the answers

What is a typical change related to sexual activity for many men in middle adulthood?

<p>'Increased time required for erection and orgasm' (A)</p> Signup and view all the answers

What is the primary change observed regarding body weight redistribution in middle adulthood?

<p>Weight gain due to fat deposits in the trunk region (D)</p> Signup and view all the answers

What happens to muscle strength as individuals move through middle adulthood years?

<p>Muscle strength decreases (A)</p> Signup and view all the answers

How do physiological changes in the heart and lungs occur during middle adulthood?

<p>The heart and lungs lose elasticity (B)</p> Signup and view all the answers

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