A nurse is looking at photographs of a friend's infant. The nurse notes a whitish glow in the child's eyes, and the friend asks why the baby's eyes look so odd. Which response by the nurse is the most appropriate?
A.
"If his eyes look like this by 6 months, he needs to see a doctor."
B.
"Take him to the doctor to see what's wrong with his eyes."
C.
"This is called leukocoria and may signify retinoblastoma."
D.
"Your baby may have a brain tumor; take him to the hospital."
ANS: C
Leukocoria (also known as the cat's-eye reflex) is a whitish glow in the pupil, often noticed on photographs, and is seen in children with retinoblastoma. The child needs to be seen by his health-care provider. The mother should not wait 6 months. Advising the mother to find out what's wrong with his eyes is not as accurate as explaining the manifestation. This sign is not seen in brain tumors.
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