Lippincott the urinary system problems
for a child.
1. A father brings his 4-week-old son to the clinic for a checkup, stating that he believes his
son's testicle is missing. Which of the following explanations would be most appropriate? 1.
"Although the testes should have descended by now, it is not a cause for worry." 2. "The testes
often do not descend until age 6 months, but let's check to see whether the testes are present."
2. While preparing to examine a 6-week-old infant's scrotal sac and testes for
possibleundescended testes, which of the following would be most important for the nurse to
do? 1. Check the diaper for recent urination. 2. Give the infant a pacifier. 3. Ensure that the
room is kept warm. 4. Tap lightly on the left inguinal ring. - ✔✔2. 3. A cold environment can
cause the testes to retract. Cold and touch stimulate the cremasteric reflex, which causes a
normal retraction of the testes toward the body. Therefore, the nurse should warm the hands
and make sure that the environment also is warm. Checking the diaper for urination provides
information about the infant's voiding and urinary function, not information about the testes.
Giving the infant a pacifier may help to calm the infant and possibly make the examination
easier, but the concern here is with the temperature of the environment. Tapping on the
inguinal ring would not be helpful in assessing the infant.
3. "The testes are present in the scrotal sac at birth, but surgery can remedy the situation." 4.
"Although the testes normally descend by 1 year of age, I can understand your concern." -
✔✔1. 4. Normally the testes descend by 1 year of age ; failure to do so may indicate a problem
with patency or a hormonal imbalance. By age 4 weeks, descent may not have occurred.
However, telling the father that lack of descent is not a cause for worry is inappropriate and
uncaring. Additionally, a statement such as this may be false reassurance. By acknowledging the
father's concern, the nurse indicates acceptance of his feelings. If the testes have not
descended, then they will not be palpable in the scrotal sac. Surgery is not discussed until after
a full
4. While the nurse is examining the infant for presence of testes, the father paces around the
room shaking his head. Which of the following would be the most appropriate response by the
nurse? 1. "I'm sure everything will work out for the best, and he'll be fine." 2. "You seem upset;
