The nurse is reinforcing teaching with the caregiver of 5-year-old twins regarding urinary tract infections (UTIs). The caregiver is puzzled about why her daughter has had three urinary tract infections but her son has had none. She reports that their diets and fluid intake are similar. Which statement would be accurate for the nurse to tell this mother?
“Girls tend to urinate less frequently than boys, making them more susceptible to UTIs.”
“It is unlikely that your daughter is practicing good cleaning habits after she voids.”
“Girls need more vitamin C than boys to keep their urinary tract healthy, so your daughter may be deficient in vitamin C.”
“A girl’s urethra is much shorter and straighter than a boy’s, so it can be contaminated fairly easily.”
The Correct Answer is D
Choice A reason: Urination frequency varies individually, not by gender, and isn’t a primary UTI risk factor. The shorter female urethra explains higher UTI rates, making this inaccurate and incorrect compared to the anatomical reason for the daughter’s recurrent infections in the 5-year-old twins.
Choice B reason: Assuming poor hygiene without evidence is speculative and less relevant than anatomical differences. The shorter urethra is the primary UTI risk in girls, making this blaming and incorrect compared to explaining the biological factor contributing to the daughter’s infections in the teaching.
Choice C reason: Vitamin C may support urinary health but isn’t gender-specific or a primary UTI cause. The shorter female urethra directly increases contamination risk, making this irrelevant and incorrect compared to the anatomical explanation for the daughter’s recurrent UTIs in the caregiver’s twins.
Choice D reason: Girls’ shorter, straighter urethras allow easier bacterial access to the bladder, explaining higher UTI rates compared to boys. This anatomical fact aligns with pediatric urology evidence, making it the accurate statement to clarify the daughter’s recurrent infections for the caregiver of the twins.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Fluoride is safe from 6 months in appropriate amounts, not delayed until 4-5 years. The first tooth’s eruption at 6 months is a key milestone, making this incorrect, as it misstates fluoride use in the context of infant dental development for the health fair.
Choice B reason: Swollen or inflamed gums are normal during teething, not a serious concern. The first tooth erupting at 6 months is a standard milestone, making this incorrect, as it misrepresents a common teething symptom as problematic in the nurse’s health fair presentation.
Choice C reason: The first tooth typically erupts by 6 months, marking the start of dental growth, a significant infant milestone. This aligns with pediatric dental guidelines, making it the correct fact for the nurse to highlight in the health fair presentation on infant developmental milestones.
Choice D reason: Lower central incisors, not upper, are usually the first to erupt in infants. The 6-month eruption timeline is accurate, making this incorrect, as it misidentifies the typical first teeth in the nurse’s presentation on infant dental development milestones at the health fair.
Correct Answer is C
Explanation
Choice A reason: Prescribing medication to calm an infant is premature without investigating the cause of restlessness and prolonged wakefulness. An in-depth assessment identifies underlying issues like medical or environmental factors, making this reactive and incorrect compared to a thorough evaluation of the infant’s behavior.
Choice B reason: Reporting to a supervisor is unnecessary before assessing the infant’s restlessness and wakefulness. Conducting an in-depth investigation allows the nurse to gather data on potential causes, making this less direct and incorrect compared to initiating a thorough assessment of the infant’s condition first.
Choice C reason: Restlessness and prolonged wakefulness in an infant warrant an in-depth investigation to identify causes like medical issues, feeding problems, or environmental factors. This aligns with pediatric nursing assessment principles, ensuring a comprehensive approach to the infant’s behavior, making it the correct response for the nurse.
Choice D reason: Assuming the behavior is normal because the mother reports it dismisses potential underlying issues causing restlessness. An in-depth investigation is needed to rule out medical or environmental factors, making this incorrect, as it risks overlooking conditions requiring intervention in the infant’s care.
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