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NR 602 Midterm Exam
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, 1. How is Kawasaki disease diagnosed?:
Answer No specific lab test. (no blood test) Liver tests may be abnormal
Diagnosis is made by meeting these criteria:
Fever for at least 5 days
4 of these 5 conditions must be met
- Mucous membrane changes such as red tongue and dry fissured lips
- Swelling of hands and feet.
- Enlarged lymph nodes in the neck
- Dittuse red rash
covering most of
the body.
- Redness of eyes.
o Illness cannot be explained by any known disease process.
2. How to treat Kawasaki disease::
Answer IVIG and aspirin
3. What is retinoblastoma?:
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, Answer malignant tumor of the retina
4. signs and symptoms of retinoblastoma:
Answer whitish glow in pupil - cat's eye reflex (leukocoria). Eyes looking in ditterent directions,
poor vision, eye swelling, eye redness
5. When should children be screened for retinoblastoma:
Answer from birth up to the age of 7 years. After age 7 years, no further screening of
asymptomatic children is recommended, unless they are known to carry an RB1 mutation. Most children
diagnosed are younger than 3 years old.
6. Risk factors for retinoblastoma:
Answer Diets low in fruits and vegetables among mothers during pregnancy
Exposure to chemicals in gasoline or diesel exhaust during
pregnancy Exposure of fathers to radiation
Older age among fathers
7. s/sx of hypothyroidism in pediatric clients:
Answer Slowed growth rate Putty face
Swollen
hands
and feet
Poor
muscle
tone
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