NURl 254/l NUR254l Examl 4l –l (Newl
2026/l 2027l Update)l Conceptsl ofl Nursing:l
Thel Childbearingl andl Childl Caringl
Familiesl Guidel |l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Galen
QUESTION
Retinoblastoma
TX:l Enucleationl ofl thel eyel (removall ofl eye)l withl opticl nervel involvement.l (common)l
Nursingl considerations:l enucleation
-Familyl supportl
-Afterl enucleation,l facel willl bel edematousl andl bruised
Answer:
-Surgicallyl implantedl spherel keepsl faciall symmetryl (beforel gettingl fittedl forl fakel eye)l
-Socketl coveredl inl mucosall liningl resemblingl orall cavityl (changel outl eyel padl daily)l
-Fittedl forl prosthesisl inl 3-4l weeks
QUESTION
Retinoblastoma
-l Averagel agel ofl Dxl isl 2l yearsl old
Answer:
S/S:l
-"Catl eye"l reflexl (whitishl glowingl color)l
-Strabismusl
,-Heterochromial (2l diffl coloredl iris)l
Dxl withl ophthalmoscope
QUESTION
Thel dyingl childl
-Parentsl mayl strugglel withl decisionl tol withholdl orl withdrawl medicall care
Answer:
-Euthanasia:l actionl carriedl outl byl anotherl personl tol endl lifel
-Assistedl suicide:l providingl meansl tol patientl tol endl theirl lifel
-Neitherl arel allowedl perl ANAl Codel ofl Ethics!
QUESTION
Thel dyingl childl
Knowl thel growthl andl developmentl ofl eachl agel groupl forl reactionl tol death
Infantsl
-Deathl hasl leastl significancel tol infantsl youngerl thanl 6l monthsl
-l Afterl trustl isl established,l lossl isl profound
Answer:
Toddlersl
-Egocentric-canl onlyl seel froml theirl pointl ofl viewl
-Impossiblel tol comprehendl absencel ofl lifel
-Mayl actl likel deceasedl personl isl stilll alivel
-Childrenl inl thisl agel groupl arel mostlyl affectedl byl changesl inl routinel
-Encouragel consistentl caregiverl
-Keepl routinesl forl bothl ofl thesel agel groups
QUESTION
Thel dyingl childl
, Preschoolersl
-believel theirl thoughtsl canl causel deathl
-Viewl illnessl asl punishmentl
-Havel somel understandingl ofl deathl
-Seel deathl asl temporary,l reversible
-Mayl denyl thatl deathl hasl occurredl tol cope
Answer:
-Greatestl fear:l separationl froml parentsl
-Mayl inappropriatelyl giggle,l laughl afterl deathl ofl lovedl onel
-Supportl parents,l helpl theml understandl child'sl behaviorsl
-Keepl routinel
-Encouragel consistentl caregivers
QUESTION
Thel dyingl childl
Adolescentsl
-Havel al maturel understandingl ofl death
-Leastl likelyl tol acceptl death,l especiallyl ifl itl isl theirl own!!!l
-Feell alonel andl alienated
Answer:
-Fearl physicall changesl morel thanl prognosisl
-Mayl criticizel funerall ceremoniesl andl havel anger!!
-Allowl forl maximuml controll andl independence
-Respectl privacyl andl encouragel expressionl ofl emotion
QUESTION
Physicall signsl ofl impendingl deathl KNOW!!l
-Lossl ofl senses,l movementl andl confusionl
-Lossl ofl bladderl andl bowell control
-Decreasedl appetite/thirst
-Changel isl respiratoryl patterns
2026/l 2027l Update)l Conceptsl ofl Nursing:l
Thel Childbearingl andl Childl Caringl
Familiesl Guidel |l Questionsl &l Answersl |l
Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l Galen
QUESTION
Retinoblastoma
TX:l Enucleationl ofl thel eyel (removall ofl eye)l withl opticl nervel involvement.l (common)l
Nursingl considerations:l enucleation
-Familyl supportl
-Afterl enucleation,l facel willl bel edematousl andl bruised
Answer:
-Surgicallyl implantedl spherel keepsl faciall symmetryl (beforel gettingl fittedl forl fakel eye)l
-Socketl coveredl inl mucosall liningl resemblingl orall cavityl (changel outl eyel padl daily)l
-Fittedl forl prosthesisl inl 3-4l weeks
QUESTION
Retinoblastoma
-l Averagel agel ofl Dxl isl 2l yearsl old
Answer:
S/S:l
-"Catl eye"l reflexl (whitishl glowingl color)l
-Strabismusl
,-Heterochromial (2l diffl coloredl iris)l
Dxl withl ophthalmoscope
QUESTION
Thel dyingl childl
-Parentsl mayl strugglel withl decisionl tol withholdl orl withdrawl medicall care
Answer:
-Euthanasia:l actionl carriedl outl byl anotherl personl tol endl lifel
-Assistedl suicide:l providingl meansl tol patientl tol endl theirl lifel
-Neitherl arel allowedl perl ANAl Codel ofl Ethics!
QUESTION
Thel dyingl childl
Knowl thel growthl andl developmentl ofl eachl agel groupl forl reactionl tol death
Infantsl
-Deathl hasl leastl significancel tol infantsl youngerl thanl 6l monthsl
-l Afterl trustl isl established,l lossl isl profound
Answer:
Toddlersl
-Egocentric-canl onlyl seel froml theirl pointl ofl viewl
-Impossiblel tol comprehendl absencel ofl lifel
-Mayl actl likel deceasedl personl isl stilll alivel
-Childrenl inl thisl agel groupl arel mostlyl affectedl byl changesl inl routinel
-Encouragel consistentl caregiverl
-Keepl routinesl forl bothl ofl thesel agel groups
QUESTION
Thel dyingl childl
, Preschoolersl
-believel theirl thoughtsl canl causel deathl
-Viewl illnessl asl punishmentl
-Havel somel understandingl ofl deathl
-Seel deathl asl temporary,l reversible
-Mayl denyl thatl deathl hasl occurredl tol cope
Answer:
-Greatestl fear:l separationl froml parentsl
-Mayl inappropriatelyl giggle,l laughl afterl deathl ofl lovedl onel
-Supportl parents,l helpl theml understandl child'sl behaviorsl
-Keepl routinel
-Encouragel consistentl caregivers
QUESTION
Thel dyingl childl
Adolescentsl
-Havel al maturel understandingl ofl death
-Leastl likelyl tol acceptl death,l especiallyl ifl itl isl theirl own!!!l
-Feell alonel andl alienated
Answer:
-Fearl physicall changesl morel thanl prognosisl
-Mayl criticizel funerall ceremoniesl andl havel anger!!
-Allowl forl maximuml controll andl independence
-Respectl privacyl andl encouragel expressionl ofl emotion
QUESTION
Physicall signsl ofl impendingl deathl KNOW!!l
-Lossl ofl senses,l movementl andl confusionl
-Lossl ofl bladderl andl bowell control
-Decreasedl appetite/thirst
-Changel isl respiratoryl patterns
