Although most relapses in children with Wilms tumor occur early (within 2 yr of diagnosis) and have a favorable outcome, about 15% suffer relapse. Relapse includes all the following EXCEPT

Correct Answer: C

Rationale: Anaplastic histology is associated with a poorer prognosis and is not typically associated with favorable relapse outcomes.

Correct Answer: A

Rationale: Medulloblastoma is notorious for extraneural spread, particularly to bones and bone marrow.

Correct Answer: D

Rationale: Positioning the newborn in a prone position is appropriate for a neonate with a meningomyelocele before surgery as it helps prevent pressure on the sac. Placing the newborn in this position can reduce the risk of damaging the sac and promote optimal surgical outcomes.

Correct Answer: A

Rationale: The signs and symptoms of dysuria and urgency in a child with daytime enuresis are indicative of a urinary tract infection. These symptoms, including urinary frequency and pain during urination, commonly point towards a UTI. Nephrotic syndrome typically presents with edema, proteinuria, hypoalbuminemia, and hyperlipidemia. Acute glomerulonephritis is characterized by hematuria, proteinuria, hypertension, and oliguria. Vesicoureteral reflux may lead to recurrent UTIs but does not directly present with dysuria and urgency.

Correct Answer: B

Rationale: When evaluating the clinical usefulness of a test, it is essential to consider the specific needs of clients and discuss these considerations with colleagues. This collaborative approach ensures that the chosen test is appropriate and beneficial for the individuals being assessed.