Pediatric Nursing Care" 2nd Edition -
Linnard-Palmer & Haile Coats
Questions
and Answers 100% Correct
The overall prognosis of childhood cancer depends on the:✔✔tumor type (histology), the extent
of the cancer at the time of diagnosis, the rapidity of treatment, and the effectiveness of therapy.
The majority of childhood cancers are✔✔curable; therefore, the oncology team that provides
care to the child with cancer and their family has a treatment goal of curing the cancer.
Rapid diagnosis and rapid initiation of appropriate therapy...✔✔...optimize the chances of a child
having a complete cure.
Childhood cancer is considered rare with less than ___% of all cancers across the life span
occurring in children.✔✔1%
Causes? No single cause of childhood cancer has been identified as the development of cancer is
complex and multifaceted.✔✔The concept of "ecogenetics" or "multifactorial etiology" is more
acceptable because it addresses the COMBINATION of exposure to toxic environmental
carcinogenic substances WITH variations in genetic factors
Common Oncological Disorders✔✔- Aplastic Anemia
- Hodgkin's Lymphoma
- Non-Hodgkin's Lymphoma
- Neuroblastoma
- Nephroblastoma ( Wilms' Tumors)
, - Osteogenic Sarcoma
- Retinoblastoma
Leukemia is the _____ common cancer in children✔✔most common cancer in children.
-solid tumors of the central nervous system, such as brain tumors, are those most commonly
found in childhood.
Aplastic Anemia✔✔A disorder of the bone marrow characterized by the depletion of all marrow
elements. Production of marrow cells is decreased or completely lacking, resulting in acute
pancytopenia.
Acute pancytopenia✔✔the severe reduction of thrombocytes,
which produce platelets, RBCs, and WBCs.
- WBCs (5,00 - 10,000)
- Granulocytes less than 500 (1,800-8,300)
- Platelets less than 20,000 (150,000-400,000)
- Retic count less than 1 % (0.5-2.0%)
Aplastic Anemia Prognosis✔✔Poor - up 50% die within 6 months
Medical Treatment: Bone marrow transplant or immunotherapy
Hodgkin's Lymphoma✔✔- Malignant proliferation of lymphocytes (specialized WBC b/c
abnormal and reproduce)
- Painless firm swollen lymph nodes : cervical, supraclavicular, armpit, and groan lymph nodes.
Hodgkin's Lymphoma is one of the most treatable types; treatment includes✔✔chemo,
supplemental radiation
Cause of Hodgkin's: Unknown but maybe linked to gene mutation