Rn Hesi Pediatric And Women Health Proctored Exam
A 7-year-old child is admitted to the hospital with a diagnosis of acute rheumatic fever. In obtaining a health history from the child's mother, the recent occurrence of which illness is most significant?
Explanation & Rationale
A. Sore throat: Acute rheumatic fever is a delayed autoimmune response to a group A beta-hemolytic streptococcal pharyngitis. A recent sore throat caused by strep infection is the most significant historical finding in this context. B. Chickenpox: Varicella infection is unrelated to the pathogenesis of acute rheumatic fever and does not trigger the autoimmune response leading to cardiac or joint involvement. C. Influenza: Influenza is a viral infection and does not predispose a child to acute rheumatic fever, making it less relevant in the history. D. Mumps: Mumps is also viral and unrelated to the autoimmune response that causes rheumatic fever, so a recent mumps infection is not significant for this diagnosis.
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