Question

Which signs/symptoms would lead a nurse to suspect fifth disease in a child brought into a pediatric clinic?

A) High fever and sore throat
B) Respiratory distress and wheezing
C) Red facial rash and "slapped cheek" appearance
D) Vesicular lesions on the hands and feet

Answer 1

A nurse would suspect fifth disease in a child with a distinctive red facial rash resembling a 'slapped cheek'. This symptom, along with initial cold-like symptoms, indicates a possible infection with parvovirus B19, characteristic of fifth disease. Therefore, the correct option is c.

Step-by-step explanation:

The signs and symptoms that would lead a nurse to suspect fifth disease in a child brought into a pediatric clinic are a distinct red facial rash with a "slapped cheek" appearance. Fifth disease, also known as erythema infectiosum, is caused by parvovirus B19 and is characterized by this rash. Initially, children may present with cold-like symptoms including headache, fever, and upset stomach. The rash typically appears after these initial symptoms and may eventually spread to the body, becoming lacy as it recedes. This disease is usually self-limiting in children, while adults may experience joint pain without the rash.