The parent of a child with neuroblastoma asks what

Question 1 of 5

The parent of a child with neuroblastoma asks what the typical early signs and symptoms are. Select the nursbest answer.

A. Most children complain of abdominal fullness and difficulty urinating. B. Many children in the early stagof neuroblastoma have joint pain and walk with a limp. C. The signs and symptoms vary depending on where the tumor is located, but typical symptoms include weight loss, abdominal distention, and fatigue. D. The signs and symptoms are fairly consistent regardless of the tumors location and include fatigue, hunger, weight gain, and abdominal fullness.

Correct Answer: C

Rationale: Vary by location, typically weight loss, distention, fatigue is best, per oncology texts. Neuroblastomas site (e.g., abdomen) drivsymptoms; these are common. Fullness/urination and joint pain are specific; weight gain incorrect. Cs breadth makes itthe correct answer.

Question 2 of 5

Which child requircontinued follow-up because of behaviors suspicious for cerebral palsy (CP)?

A. A 1-month-old who demonstratthe startle reflex when a loud noise is heard. B. A 6-month-old who consistently reachfor toys with the right hand. C. A 14-month-old who has not yet begun to walk. D. A 2-year-old who has not achieved bladder control during waking hours.

Correct Answer: B

Rationale: 6-month-old with hand preference needs follow-up, per CP screening. Persistent unilateral reaching may signal hemiplegia. Startle is normal; walking variable; bladder developmental. Bs sign makes itthe correct answer.

Question 3 of 5

The parents of a neonate with a meningocele ask what they can expect. Which is the nursbest response?

A. After initial surgery to close the defect, most children experience no neurological dysfunction. B. Surgery to close the sac will be postponed until the infant has grown enough to form a graft. C. After the initial surgery to close the defect, the child will likely have motor and sensory deficits. D. After the initial surgery to close the defect, the child will likely have future problems with urinary and bowel continence.

Correct Answer: A

Rationale: No neurological dysfunction post-surgery is best for meningocele, per neurosurgery texts. Lacking nerve involvement, outcomare good. Delay , deficits , and continence issufit myelomeningocele. As accuracy makes itthe correct answer.

Question 4 of 5

Which signs best indicate increased intracranial pressure (ICP) in an infant? (Select all that apply.)

A. Sunken anterior fontanel. B. Complaints of blurred vision. C. High-pitched cry. D. Increased appetite.

Correct Answer: C

Rationale: High-pitched cry and sleeping more (original 5, here D) indicate ICP in infants, per pediatric texts. Sunken fontanel is dehydration; vision and appetite unfit infants. Cs signs (assuming D intended) make it correct.

Question 5 of 5

Which of the following anchors spinal cord to coccyx:

A. Denticulate ligament B. Filum terminale C. Cauda equina D. Conus medullaris

Correct Answer: B

Rationale: Filum terminale . The filum terminale is a slender, thread-like extension of the pia mater that descends from the conus medullaris (the tapered end of the spinal cord) and anchors the spinal cord to the coccyx, providing longitudinal stability. Choice A, Denticulate ligament, is incorrect because these are lateral extensions of the pia mater that anchor the spinal cord to the dura mater along its sides, not to the coccyx. Choice C, Cauda equina, refers to the bundle of spinal nerve roots below the conus medullaris and donot anchor the spinal cord. Choice D, Conus medullaris, is the terminal end of the spinal cord itself, not an anchoring structure. Thus, Filum terminale is the specific structure that tethers the spinal cord to the coccyx, confirming B as the correct answer.

The parent of a child with neuroblastoma asks what the typical early signs and symptoms are. Select the nursbest answer.

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