NORCET-7 Mains-2024
Child Health Nursing (Pediatrics)
Easy
A child is suffering from Non-Hodgkin lymphoma. The nurse knows that the child presents with the clinical feature of?
Appeared in: NORCET-7 Mains-2024
Explanation
- The clinical presentation of Non-Hodgkin Lymphoma (NHL) in children depends on the primary site of the tumor.
- Burkitt lymphoma is the most common subtype of pediatric NHL and typically originates as a rapidly growing tumor in the abdomen (sporadic type).
- This abdominal mass leads to characteristic symptoms of abdominal swelling, pain, distension, and potential bowel obstruction.
- The rapid doubling time of Burkitt lymphoma can cause a noticeable increase in abdominal girth in a very short period.
Why Other Options Were Wrong
- Option B: Intense itching, known as pruritus, is a classic 'B symptom' that is much more characteristic of Hodgkin Lymphoma, not Non-Hodgkin Lymphoma.
- Option C: While these symptoms can occur in pediatric NHL, they are specific to a mediastinal (chest) mass, which is the hallmark of Lymphoblastic Lymphoma, a less common subtype than Burkitt lymphoma.
- Option D: Increased thirst (polydipsia) and frequent urination (polyuria) are hallmark symptoms of hyperglycemia, typically associated with Diabetes Mellitus, and are unrelated to the pathophysiology of lymphoma.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Clinical presentation of pediatric Non-Hodgkin Lymphoma (NHL) to guide bedside assessment, documentation, and the next nursing action.
- Early recognition of signs like unexplained abdominal swelling is critical for timely diagnosis and treatment of pediatric NHL, which is often aggressive but highly curable with modern chemotherapy.
- Nurses play a key role in assessing and monitoring these children, including performing daily abdominal girth measurements to track tumor progression or the development of ascites.
- A critical nursing responsibility is monitoring for Tumor Lysis Syndrome (TLS), an oncologic emergency common in fast-growing tumors like Burkitt lymphoma, which requires aggressive hydration and medication to prevent kidney failure.
How to Approach the Question
- First, identify the core concept of the question: the clinical features of Non-Hodgkin lymphoma (NHL) in a child.
- Recall that pediatric NHL is different from adult NHL and has several subtypes with distinct presentations.
- Consider the most common subtype of pediatric NHL, which is Burkitt lymphoma.
- Evaluate each option based on the typical presentation of pediatric NHL subtypes. Link 'abdominal swelling' to Burkitt lymphoma and 'shortness of breath' to lymphoblastic lymphoma.
- Rule out options that are characteristic of other diseases, such as itching for Hodgkin lymphoma and thirst/polyuria for diabetes.
- Select the option that represents the most frequent and characteristic presentation for pediatric NHL as a whole, which is abdominal swelling due to the high incidence of Burkitt lymphoma.
Concept Tested & Keywords
- Concept Tested: Clinical presentation of pediatric Non-Hodgkin Lymphoma (NHL).
- Stem keywords: Non-Hodgkin lymphoma, child, clinical feature
- Lead-in keywords: presents with
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
Question ID
QP0Umn_tqrFLCkpRqKSO3S
Reference Book
E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 2 (pp 239-476 of 713) p. 135-137
E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 632-634
E6 Nelson Textbook of Pediatrics(2024) — Volume 2 p. 912-914
Practise the full NORCET-7 Mains-2024
Attempt every question from this paper in a timed mock, then review the full solution for each one.
More Childhood Malignancies Questions
- A child is on chemotherapy. The nurse should teach the mother about the following; except:
- The nurse should be concerned for which while a child is on chemotherapy?
- The most common type of leukaemia seen in children is?
- Which of the following is the most common type of childhood malignancy?
- A six-year-old child has been admitted in paediatric medical ward as a case of malignant tumour. Which one of the following is the most common in the…
- The most common form of childhood brain tumor is?
- While caring for a child with leukaemia, a nurse should look for all the following except?
- A child is diagnosed with wilm's tumor during assessment, the nurse expects to detect?
- A child with leukemia having nausea should be offered?
- A child is diagnosed with Wilms tumor. During assessment, the nurse expects to detect?
More NORCET-7 Mains-2024 Questions
- What is the correct statement regarding pre-oxygenation in children before intubation?
- A pregnant woman is ready for caesarean section and transferred to labor room. Which is the best position for the woman during caesarean section?
- A woman comes in labor room with 3 cm cervical dilation, 80% effacement and energetic and excited. The women in which phase of labor?
- The ambient temperature of the labor room should maintain?
- The recommended dose of iron and folic acid for adolescent girls under Weekly Iron & Folic Acid Supplementation (WIFS) program?
- A 14-week Rh-negative pregnant woman presents with mild vaginal bleeding and abdominal pain. Ultrasound shows a viable intrauterine pregnancy. Her hu…
- A new newborn care unit is inaugurated in the hospital. The child health nurse known about iKMC. What mean I in iKMC?
- A nurse teaching to a woman regarding breast feeding. Which statement is incorrect about breast feeding?
- Swenson and Duhamel procedure used to correction of?
- Cohort study also known as?