A nurse in a pediatric unit is assisting with providing care for multiple children. Which of the following physical findings and parental reports should cause the nurse to suspect child maltreatment?
A toddler has a spiral fracture, and the parent reports a fall from a swing.
A preschooler has bruises on the shins, and the parent reports a collision with furniture.
An adolescent has a head injury, and the parent reports a fall from a bike.
A school-age child has a black eye, and the parent reports a fight with a classmate.
The Correct Answer is A
Rationale:
A. Spiral fractures are often associated with child abuse, especially when they occur in non-ambulatory infants or toddlers who can't generate enough force to cause such injuries themselves.
B. Bruises from a collision with furniture can be common in preschoolers, and there's no immediate indication of child maltreatment.
C. Head injuries from falls, especially during adolescence, are common and may not necessarily indicate child maltreatment.
D. While a black eye could be concerning, it's not necessarily indicative of child maltreatment and could be the result of a fight with a classmate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A) Watching cartoons with peers may increase the risk of transmitting varicella- zoster virus to other children who may not be immune, as well as expose the child to potential infections from other sick children.
B) Pulling a wagon of stuffed animals in the hallway is too strenuous for a child with pneumonia.
C) Writing a letter to send to a friend may be an appropriate activity for a child with pneumonia, but it involves sitting still for an extended period, which may not be as beneficial as a more physically engaging activity.
D) Playing an alphabet flashcard game with the parent is appropriate for a 4-year-old child's cognitive development and does not require physical exertion or exposure to other children who might be susceptible to varicella zoster infection.
Correct Answer is A
Explanation
Rationale:
A) Using an automated lancet device provides a controlled and consistent depth of puncture for the heel stick, minimizing discomfort and risk of injury.
B) Applying limb restraints is unnecessary and could cause distress to the infant.
C) Puncturing the heel at the inner aspect may not be the appropriate site for the heel stick.
D) Cleansing the area with povidone iodine is not necessary for a routine heel stick procedure.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today