Question

A nurse is caring for a hospitalized child with a diagnosis of rubella (German measles). The nurse reviews the health care provider's progress notes and reads that the child has developed Forchheimer sign. Based on this documentation, which of the following should the nurse expect to note in the child?

a) Joint pain.

b) Enlarged lymph nodes.

c) Red spots on the soft palate.

d) Blueberry muffin rash.

Answer 1

Forchheimer sign in a child with rubella is marked by the presence of red spots on the soft palate.

Step-by-step explanation:

The nurse should expect to note red spots on the soft palate in a child with Forchheimer sign, which is a characteristic symptom of rubella (German measles). The rash of rubella typically begins on the face and spreads to the extremities, but it is less intense and shorter lived compared to measles. Additionally, rubella is not associated with joint pain, enlarged lymph nodes, or a blueberry muffin rash.