The mother of a six-year-old brings her son to the physician ...

[asd123]

The mother of a six-year-old brings her son to the physician because his teacher thinks he might have attention deficit/hyperactivity disorder (ADHD). The nurse is interviewing the mother about the child's history.
 
  The nurse knows that which factors could be associated with ADHD? 1. Measles, mumps, and rubella vaccine
  2. Advanced parental age
  3. Prenatal exposure to smoke
  4. Immune response

Question 2

The nurse is performing a physical exam on a child who presents with enlarged lymph nodes and general malaise. Differential diagnosis for diagnosis of Hodgkin's lymphoma would include which of the following assessment findings?
 
  1. Fever and joint pain
   2. Bruising and petechiae
   3. Firm and non-tender lymph nodes
   4. Enlarged and painful lymph nodes

[pratush dev]

Answer to Question 1

3
Rationale 1: Measles, mumps, and rubella vaccine has been thought to be associated with autism spectrum disorder, though a relationship has never been established through research.
Rationale 2: Advanced parental age has been associated with autism spectrum disorders.
Rationale 3: Research shows that a mother's use of cigarettes during pregnancy can increase the risk for ADHD.
Rationale 4: Immune response can be associated with autism spectrum disorders.
Global

Answer to Question 2

3
Rationale:
1. Fever and joint pain are not physical findings in Hodgkin's disease.
2. Bruising and petechiae are not physical findings in Hodgkin's disease.
3. Firm, non-tender lymph nodes are classic findings in Hodgkin's disease.
4. Lymph nodes are usually not painful with Hodgkin's disease.

[asd123]

Gracias!

[parshano]

TYSM