The urinary tract can also be affected by congenital anomalies, resulting in
abnormal structure of components of the urinary tract. These are typically
resolved by surgery.
Wilms tumor is another congenital disorder. Wilms tumor is a cancerous
growth that can go unnoticed until the child reaches 4 years of age. At first the
tumor is encapsulated, but the capsule can rupture, resulting in the tumor
metastasizing to other areas of the body.CHAPTER 12/ Genitourinary Conditions^273
FINAL CHECKUP
- The mother of a child diagnosed with Wilms tumor asks why they must be care-
ful when touching their child’s abdomen. What is the best response?
a. To prevent unnecessary pain to the child.
b. They might inadvertently injure the child.
c. The tumor is soft and encapsulated. Pressure on or near the tumor might rupture
the capsule.
d. The tumor may metastasize to the lung. - A parent of a child who is recently diagnosed with a urinary tract infection franti-
cally calls saying that her daughter’s infection has worsened since she started treat-
ment. Her urine is orange when before it was cloudy. What is your best response?
a. This is a normal side effect of phenazopyridine.
b. Go to the Emergency Department immediately.
c. Bring the child to the health-care provider immediately.
d. This is a tinge of blood that will resolve itself in 7 to 10 days. - The mother of a child who has been diagnosed with ureter stenosis asks for you
to explain this disorder. What is your best response?
a. Ureters are tubes that connect each kidney to the bladder. These tubes are narrower
than normal.
b. Ureters are tubes that connect each kidney to the bladder. These tubes did not exist
at birth; however, they can be restored surgically.
c. Ureters are tubes that connect each kidney to the bladder. There is a duplication of
these tubes.
d. Ureters are tubes that connect each kidney to the bladder. Two ureters are joined
together prior to entering the bladder. - A patient experiences a sudden decrease in renal function as a result of
pyelonephritis. What category acute of renal failure is the patient experiencing?
a. Prerenal
b. Renal
c. Postrenal
d. None of the above
?