The child has been admitted to the hospital unit newly diagnosed with retinoblastoma. What would the nurse expect to see when examining the child's eye?
1. A white reflex
2. Blue-tinged sclera
3. A red reflex
4. Yellow sclera
1
Rationale 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.
Rationale 2: Blue-tinged sclera is a sign of osteogenesis imperfecta, not retinoblastoma.
Rationale 3: Red reflex is absent in retinoblastoma.
Rationale 4: Yellow sclera is a sign of jaundice, not retinoblastoma.
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