A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse?

A toddler repeatedly refuses to let a nurse auscultate his lungs.

A mother is hesitant to comfort her 6-month-old infant.

A toddler has bruises on his knees.

An 8-month-old infant cries when his parent leaves the room.

Answer and Explanation

The Correct Answer is A

A. A toddler's repeated refusal to let a nurse perform a routine medical assessment may indicate fear or discomfort around adults, which could be a potential indicator of child abuse or neglect.

B. A mother's hesitation to comfort her 6-month-old infant may be due to various reasons, such as cultural differences, lack of confidence, or personal preferences. It is not necessarily indicative of child abuse.

C. Bruises on a toddler's knees are a common finding in active children who are learning to walk and explore their environment. While bruises should always be assessed, they are not automatically indicative of child abuse.

D. An 8-month-old infant crying when a parent leaves the room is a normal separation anxiety response for an infant of this age and is not indicative of child abuse. This behavior is part of normal infant development.

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Correct Answer is D

Explanation

A. Abrasions on the knees may be common in active children and may not necessarily indicate physical abuse.

B. Front deciduous teeth missing is a normal occurrence as children lose their baby teeth and grow permanent teeth. It is not indicative of physical abuse.

C. Weight in the 45th percentile indicates that the child's weight falls within the average range for their age. This finding is not indicative of physical abuse.

D. Bruising around the wrists can be a concerning sign, especially if it suggests that the child has been restrained or grabbed forcefully. This finding raises suspicion of physical abuse and should be further assessed and reported if necessary.

A. Gonorrhea B. Bacterial vaginosis trichomoniasis C. Genital herpes simplex virus D. Human papilloma virus

Correct Answer is A

Explanation

A. Gonorrhea is a nationally notifiable sexually transmitted infection (STI). This means that healthcare providers are required to report cases of gonorrhea to public health authorities to track and monitor the spread of the disease.

B. Bacterial vaginosis and trichomoniasis are common STIs but are not nationally notifiable.

C. Genital herpes simplex virus is a common STI but is not nationally notifiable.

D. Human papillomavirus (HPV) is a common STI, but it is not nationally notifiable.
However, HPV vaccines are recommended to prevent certain strains of the virus that can cause cervical cancer.

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A charge nurse is teaching a group of nurses about identifying child abuse. Which of the following findings should the nurse identify as a potential indicator of child abuse?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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