A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?

A 34-month-old child who has several small bruises on the shins.

A 6-year-old child who has a fracture of the arm from a bicycle injury.

A 15-month-old child who bites other children while at daycare.

A 4-year-old child who has a history of frequent urinary tract infections.

Answer and Explanation

The Correct Answer is D

A history of frequent urinary tract infections (UTIs) is a sign of child maltreatment. It may indicate sexual abuse, which can introduce bacteria into the urinary tract. Sexual abuse may also cause genital or anal trauma, sexually transmitted infections, or pregnancy 1. UTIs are uncommon in children, especially in boys. The normal frequency of UTIs in children is around 1 in 10 girls and 1 in 30 boys by the age of 16 years

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Correct Answer is A

Explanation

The answer is a. Hard-boiled egg.

Hard-boiled eggs are a safe snack for a toddler.They are soft, easy to chew, and rich in nutrients.

Now, let’s discuss why the other options are not recommended:

b. Grapes: Whole grapes are not recommended for toddlers due to the risk of choking.They are round and slippery, making them difficult for toddlers to chew properly.

c. Raw carrots: Similar to grapes, raw carrots pose a choking hazard for toddlers.They are hard and can break into large pieces that might block a toddler’s airway.

d. Popcorn: Popcorn is not safe for toddlers. The kernels can get stuck in a toddler’s throat and cause choking.Moreover, unpopped or partially popped kernels are hard and can also pose a choking risk.

A. Ensure the infant bottle feeds for 45 min. B. Administer digoxin for a pulse of 70/min. C. Allow for frequent rest periods. D. Maintain the infant in a supine position.

Correct Answer is C

Explanation

Choice A rationale:
Ensuring the infant bottle feeds for 45 minutes is not recommended for an infant with heart failure. Prolonged feeding sessions can lead to increased fatigue and stress on the infant's cardiovascular system, exacerbating the heart failure symptoms.
Choice B rationale:
Administering digoxin for a pulse of 70/min is not appropriate. Digoxin is commonly used in heart failure cases to improve cardiac contractility and reduce heart rate. However, giving digoxin solely based on the heart rate without considering other factors can lead to potential overdose and adverse effects.
Choice C rationale:
(Correct Choice) Allowing for frequent rest periods is crucial in the plan of care for an infant with heart failure. Infants with heart failure often experience fatigue and difficulty feeding due to compromised cardiac function. Allowing them to rest between activities helps conserve energy and supports their overall well-being.
Choice D rationale:
Maintaining the infant in a supine position is not the best choice for an infant with heart failure. While the supine position is recommended for safe sleep to reduce the risk of sudden infant death syndrome (SIDS), it may not be optimal for an infant with heart failure. An inclined position may be more suitable to alleviate potential respiratory distress.

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A nurse in a well-child clinic is collecting data from four clients. Which of the following findings should the nurse report to the provider as a potential indication of child maltreatment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing dietary teaching with the guardians of a toddler. Which of the following snack foods should the nurse recommend?

Correct Answer is A

Explanation

A nurse is assisting with the plan of care for an infant who has heart failure. Which of the following actions should the nurse recommend to include in the plan of care?

Correct Answer is C

Explanation

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