60. The nurse is performing a well-child check on a 5-year-old boy. He has no current history that would lead the nurse to suspect illness. His past medical history is unremarkable, and he received immunizations 1 week ago. Which of the following findings would be considered normal in this situation?
1. Enlarged, warm, tender nodes
2. Lymphadenopathy of the cervical nodes
3. Palpable firm, small, shotty, mobile, nontender lymph nodes
4. Firm, rubbery, large nodes, somewhat fixed to the underlying tissue
Palpable firm, small, shotty, mobile, nontender lymph nodes
Palpable lymph nodes are often normal in children and infants. They are small, firm, shotty, mobile, and nontender. Vaccinations can produce lymphadenopathy. Enlarged, warm, tender nodes indicate current infection.