The child is admitted to the hospital unit newly diagnosed with retinoblastoma. Which clinical manifestation does the nurse anticipate upon assessment?
1. A white reflex
2. Blue-tinged sclerae
3. A red reflex
4. Yellow-tinged sclerae
1
Explanation:
1. The first sign of retinoblastoma is a white pupil. The red reflex is absent. This is known as leukocoria, or "cat's eye" reflex.
2. Blue-tinged sclerae are a sign of osteogenesis imperfecta, not retinoblastoma.
3. Red reflex is absent in retinoblastoma.
4. Yellow sclerae are a sign of jaundice, not retinoblastoma.
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