A nurse is looking at photographs of a friend's infant. The nurse ...

[dbose]

A nurse is looking at photographs of a friend's infant. The nurse notes a whitish glow in the child's eyes, and the friend asks why the baby's eyes look so odd. Which response by the nurse is the most appropriate?
 
  A.
  If his eyes look like this by 6 months, he needs to see a doctor.
  B.
  Take him to the doctor to see what's wrong with his eyes.
  C.
  This is called leukocoria and may signify retinoblastoma.
  D.
  Your baby may have a brain tumor; take him to the hospital.

Question 2

A parent brings a 10-year-old child to the clinic, reporting that the child fell while playing and now has a limp several days later. In completing a history, which other finding would the nurse correlate more with bone cancer than a minor trauma?
 
  A.
  Decreased appetite for the last month
  B.
  Fatigues easily when playing outdoors
  C.
  Limping several weeks prior to the fall
  D.
  Often has unexplained extremity bruises

[medine]

Answer to Question 1

ANS: C
Leukocoria (also known as the cat's-eye reflex) is a whitish glow in the pupil, often noticed on photographs, and is seen in children with retinoblastoma. The child needs to be seen by his health-care provider. The mother should not wait 6 months. Advising the mother to find out what's wrong with his eyes is not as accurate as explaining the manifestation. This sign is not seen in brain tumors.

Answer to Question 2

ANS: C
Pain and swelling are the most common manifestations of osteosarcoma. Often the child has a limp. The child also may have a dull pain at the tumor site, and if it is on a leg (weight-bearing), it could easily cause a limp that has lasted for several weeks before really being noticed. The other manifestations are vague and could be related to other problems.

[dbose]

TYSM

[TheNamesImani]

Gracias!