The nurse is aware that genitourinary surgery is especially ...

[charchew]

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.

Question 2

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.

[strudel15]

Answer to Question 1

ANS: A, B, C, D
All options, except fear of death, are especially stressful for preschool children undergoing genitourinary surgery. Children in this age group do not have an understanding of the concept of death.

Answer to Question 2

ANS: B, C, D, E
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. These infants are diapered loosely, if at all. Surgical closure is done as quickly as possible.