The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?

Enlarged mandibular growth

Depigmented areas on the abdomen

Slightly yellow sclera

Increased growth of long bones

Answer and Explanation

The Correct Answer is C

A. Enlarged mandibular growth is not characteristic of sickle-cell anemia.

B. Depigmented areas on the abdomen are not associated with sickle-cell anemia.

C. Slightly yellow sclera (jaundice) is consistent with sickle-cell anemia due to the breakdown of red blood cells, which can lead to an increased level of bilirubin.

D. Increased growth of long bones is not typically associated with sickle-cell anemia; instead, there may be pain and deformities related to sickle cell crises.

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Correct Answer is A

Explanation

A. Puberty might be considered delayed if there are no scrotal changes by the age of 11 years, as testicular enlargement is one of the earliest signs of puberty in boys.

B. Growth spurts typically occur early in puberty, not towards the end.

C. Changes in voice occur later in puberty, not at the beginning.

D. Gynecomastia (breast tissue development) commonly occurs during early puberty rather than late puberty and is usually temporary.

A. Dilated scalp veins B. Over-riding suture lines C. A backward sloping appearance of the forehead. D. Hypertension

Correct Answer is A

Explanation

A. This is a common manifestation of hydrocephalus in newborns. The increased cerebrospinal fluid (CSF) in the ventricles causes the skull to expand, which can lead to prominent and dilated scalp veins due to increased intracranial pressure.

B. Over-riding suture lines are more commonly associated with conditions like craniosynostosis or during the early stages of labor when the skull bones overlap. In hydrocephalus, the sutures are more likely to be separated rather than overridden due to the expansion of the skull.

C. This is not a typical manifestation of hydrocephalus. Instead, you would expect a more pronounced or bulging forehead due to increased intracranial pressure.

D. Hypertension is not typically a manifestation of hydrocephalus in newborns. Instead, the condition is more associated with signs of increased intracranial pressure and changes in head size.

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The nurse is assessing a school-aged child with sickle-cell anemia. Which assessment finding is consistent with this child's diagnosis?

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